Unknown Individual – Professional Counselor, NPI 1548233505
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
625, Cleveland Avenue Northwest, Upper Downtown Canton Historic District, Canton, Stark County, Ohio, 44702, United States
CANTON, OH 447021805
Phone: (330) 455-0374
Fax: (330) 455-2101
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44702)
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