Individual
SHANNON MICHELLE ROPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2737 YOUNGSTOWN RD SE, WARREN, OH 44484-5002
(330) 369-8022
Mailing address
1058 PERKINS JONES RD NE APT A10, WARREN, OH 44483-1844
(440) 998-0722
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
003893
OH
324500000X
Substance Abuse Rehabilitation Facility
Primary
183643
OH
Other
Enumeration date
03/14/2023
Last updated
08/17/2023
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