Individual
DEVONE' KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA I
Contact information
Practice address
2737 YOUNGSTOWN RD SE, WARREN, OH 44484-5002
(330) 369-8022
Mailing address
2737 YOUNGSTOWN RD SE, WARREN, OH 44484-5002
(330) 369-8022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OH
324500000X
Substance Abuse Rehabilitation Facility
Primary
169418
OH
Other
Enumeration date
01/08/2019
Last updated
03/12/2019
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