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NPI Code Detail

MEDICARE: DANNY DIONTE RICCARDI CDCA, QMHS

MEDICARE: DANNY DIONTE RICCARDI CDCA, QMHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1235615626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNY DIONTE RICCARDI CDCA, QMHS
Provider Business Mailing Address
First Line : 5550 W CENTRAL AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1517
Country : US
Telephone Number : 419-865-6612
Fax Number :
Provider Business Practice Location Address
First Line : 5550 W CENTRAL AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1517
Country : US
Telephone Number : 419-865-6612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2018
Last Update Date : 07/22/2025

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