Individual
CHRISTAL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1044 WINTON AVE, AKRON, OH 44320-3628
(330) 324-4661
Mailing address
1044 WINTON AVE, AKRON, OH 44320-3628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CDCA.164843
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.164843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.164843
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
05/22/2018
Last updated
05/22/2018
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