Individual
ANGELLA RICHARD
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
29201 AURORA RD, SOLON, OH 44139-1846
(330) 369-8022
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003787
OH
324500000X
Substance Abuse Rehabilitation Facility
182574
OH
405300000X
Prevention Professional
182574
OH
Other
Enumeration date
02/23/2023
Last updated
10/03/2023
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