Individual provider · Type 1 NPI

Mallory Evans

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1114309994 Active

Practice location

625 Cleveland Ave NW
Canton, OH 44702-1805

Call (330) 455-0374 Map

Fax (330) 455-2101

Mailing address

1341 Market Ave N
Canton, OH 44714-2605

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.160336-PRE (OH)
Mental Health Counselor 101YM0800XC1500355 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114309994

Mallory Evans's National Provider Identifier is 1114309994, issued on Jun 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, OH. The record was last updated on Jul 28, 2016.