Provider Demographics
NPI:1770761389
Name:KREIDER, VALERIE ANN LAMBERTON (PCC/S, LICDC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN LAMBERTON
Last Name:KREIDER
Suffix:
Gender:F
Credentials:PCC/S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1878 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5402
Mailing Address - Country:US
Mailing Address - Phone:330-645-6971
Mailing Address - Fax:
Practice Address - Street 1:1000 S CLEVELAND MASSILLON ROAD
Practice Address - Street 2:SUITE 01
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-9204
Practice Address - Country:US
Practice Address - Phone:330-754-4844
Practice Address - Fax:833-974-2062
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH882440101YA0400X
OHE2717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0207493Medicaid