Individual
PAULA RAE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 644-4095
Mailing address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 644-4095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
162867
OH
175T00000X
Peer Specialist
Primary
APS.003647
OH
Other
Enumeration date
05/20/2019
Last updated
10/11/2024
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