Individual
NICOLE MARIE CAMPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 LYON BLVD, YOUNGSTOWN, OH 44514-1568
(330) 609-9606
Mailing address
2151 RUSH BLVD, YOUNGSTOWN, OH 44507-1535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.164529
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
11/17/2022
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