Individual
ALESIA CODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 MAHONING AVE NW, WARREN, OH 44483-4605
(330) 395-9563
(330) 393-5975
Mailing address
150 E MARKET ST, WARREN, OH 44481-1141
(330) 399-6451
(330) 393-6029
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
03/13/2025
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