Provider Demographics
NPI:1477277424
Name:PAPESH, TRINITY ROSE (CDCA)
Entity Type:Individual
Prefix:
First Name:TRINITY
Middle Name:ROSE
Last Name:PAPESH
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 DICKSON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-1300
Mailing Address - Country:US
Mailing Address - Phone:440-828-0012
Mailing Address - Fax:440-828-0188
Practice Address - Street 1:508 DICKSON ST STE 2
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-1300
Practice Address - Country:US
Practice Address - Phone:440-828-0012
Practice Address - Fax:440-828-0188
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.180923101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)