Individual
DANIELLE K COONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, LSW
Contact information
Practice address
550 W CHALMERS AVE, YOUNGSTOWN, OH 44511-1576
(330) 797-0070
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.173454
OH
104100000X
Social Worker
Primary
S.2005742
OH
Other
Enumeration date
03/20/2020
Last updated
12/28/2020
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