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Individual

ELECTRA VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICDC-CS

Contact information

Practice address
725 E MARKET ST, AKRON, OH 44305-2421
(330) 315-2616
Mailing address
725 E MARKET ST, AKRON, OH 44305-2421
(330) 315-2616

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
892601
OH

Other

Enumeration date
02/24/2016
Last updated
02/24/2016
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