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NPI Code Detail

MEDICARE: VALERIE ANN LAMBERTON KREIDER PCC/S, LICDC

MEDICARE: VALERIE ANN LAMBERTON KREIDER PCC/S, LICDC
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) Counselor882440OH
2101YM0800XMental Health CounselorE2717OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770761389
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE ANN LAMBERTON KREIDER PCC/S, LICDC
Provider Business Mailing Address
First Line : 1878 BROOKFIELD DR
Second Line :
City : AKRON
State : OH
Zip : 44313-5402
Country : US
Telephone Number : 330-645-6971
Fax Number :
Provider Business Practice Location Address
First Line : 1000 S CLEVELAND MASSILLON ROAD
Second Line : SUITE 01
City : FAIRLAWN
State : OH
Zip : 44333-9204
Country : US
Telephone Number : 330-754-4844
Fax Number : 833-974-2062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2008
Last Update Date : 05/14/2025

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Directions to “ VALERIE ANN LAMBERTON KREIDER PCC/S, LICDC” Practice Location

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