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Michael A Anderson, CDCA

Counselor, Addiction (Substance Use Disorder) in Canton, OH. Individual provider (NPI-1).

NPI number1699028159
StatusActive
Last updated in NPPESOct 22, 2012

Details

NPI
1699028159
Entity type
Individual (NPI-1)
Name
Mr. Michael A Anderson
Credential
CDCA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 22, 2012
Last updated
Oct 22, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)110791OHYes

Practice location

1341 Market Ave N
Canton, OH 44714-2605

Phone 330-453-8252 · Fax 330-452-4655

Mailing address

1341 Market Ave N
Canton, OH 44714-2605

Phone 330-453-8252 · Fax 330-452-4655

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