Individual
SUSAN DIANA LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, CDCA
Contact information
Practice address
6505 MARKET ST, BOARDMAN, OH 44512
(330) 543-7472
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-7472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E2374
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
140900
OH
Other
Enumeration date
11/04/2015
Last updated
06/19/2018
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