Individual
ANDREA LYNN PAVENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC III
Contact information
Practice address
25 N CANFIELD NILES RD, YOUNGSTOWN, OH 44515-2328
(330) 270-2380
(330) 270-2383
Mailing address
4814 WESTCHESTER DR, YOUNGSTOWN, OH 44515-2572
(330) 501-1988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
991762
OH
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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