Individual provider · Type 1 NPI

Brett Ryan Clevidence, CDCA

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1295337491 Active

Practice location

1341 Market Ave N
Canton, OH 44714-2605

Call (330) 453-8252 Map

Fax (330) 452-4655

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA174529 (OH)

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

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About NPI 1295337491

Brett Ryan Clevidence, CDCA's National Provider Identifier is 1295337491, issued on Nov 12, 2020. 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 Dec 22, 2021.