Individual
ED R PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
25 FREDERICK AVE, AKRON, OH 44310-2973
(330) 996-2222
Mailing address
2760 RYEWOOD AVE APT F, COPLEY, OH 44321-2197
(234) 200-8025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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