Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Lynn Petersen, CDCA

Individual provider Peer Specialist · NPI 1679454284

Amanda Lynn Petersen, CDCA is a Peer Specialist in Canton, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025
Specialties on file
2

Practice location Address checks out

624 Market Ave N
Canton, OH 44702-1017
Phone: (330) 209-9016
Fax: (330) 497-0677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence OCPS.161571 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.193508 (OH)

Record details

NPI number1679454284
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address624 Market Ave N, Canton, OH 44702-1017

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