Individual
ANDRIA VALENCIA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4864 ONEIL BLVD UNIT D, LORAIN, OH 44055-2924
(440) 752-7602
Mailing address
41549 ELMWOOD ST, ELYRIA, OH 44035-1219
(440) 258-2707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.184701
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/02/2019
Last updated
08/25/2023
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