Individual
DIANE B WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCIII
Contact information
Practice address
380 S PORTAGE PATH, AKRON, OH 44320-2326
(330) 315-4901
(330) 434-7885
Mailing address
838 COBURN ST, AKRON, OH 44311-1459
(330) 812-3118
(330) 208-2136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161785
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII162573
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351895
—
OH
Enumeration date
05/24/2019
Last updated
10/19/2023
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