Individual
MS. GINA A FEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA-P
Contact information
Practice address
150 CROSS STREET, AKRON, OH 44311-1026
(330) 996-9141
(330) 253-0377
Mailing address
COMMUNITY SUPPORT SERVICES, INC., 150 CROSS ST., AKRON, OH 44311-1026
(330) 996-9141
(330) 253-0377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSCA.190854
OH
171M00000X
Case Manager/Care Coordinator
—
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
APS.001350
OH
Other
Enumeration date
02/16/2021
Last updated
12/19/2024
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