Individual
AMANDA D RISALITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
331 W MAIN ST, CARROLLTON, OH 44615-1347
(330) 627-4313
(330) 343-8188
Mailing address
201 HOSPITAL DR, DOVER, OH 44622-2058
(330) 343-6631
(330) 343-8188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA165979
OH
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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