Individual
DARLEEN KOTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 953-0243
Mailing address
964 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.1901804
OH
101YM0800X
Mental Health Counselor
Primary
E.2404022
OH
251S00000X
Community/Behavioral Health Agency
C.1800952-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.1800952-TRNE
COUNSELOR, SOCIAL WORKER & MFT BOARD
OH
Enumeration date
06/27/2018
Last updated
02/01/2024
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