Mallory A Olitsky, CDCA, QMHS
Counselor, Addiction (Substance Use Disorder) in Youngstown, OH. Individual provider (NPI-1).
NPI number1063246742
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1063246742
- Entity type
- Individual (NPI-1)
- Name
- Mallory A Olitsky
- Credential
- CDCA, QMHS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2024
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.192903 | OH | Yes |
| 172V00000X | Community Health Worker | QMHS | OH |
Practice location
550 W Chalmers AveYoungstown, OH 44511-1576
Phone 330-797-0070
Mailing address
527 N Meridian RdYoungstown, OH 44509-1227
Phone 330-797-0070 · Fax 330-797-9146
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All 221 Addiction (Substance Use Disorder) Counselor providers in Youngstown · All 6,143 providers in Youngstown
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