Individual
MR. DARRYL WAYNE PETERSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3040 WICKER ST NE, CANTON, OH 44721-2298
(234) 521-1318
Mailing address
2605 BROAD AVE NW, CANTON, OH 44708-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
06/28/2023
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