Individual provider · Type 1 NPI
Jane R. Bagnall, CDCA
Addiction (Substance Use Disorder) Counselor · Chardon, OH
NPI number
1366091092
Active
Practice location
209 Center St
Chardon, OH 44024-1189
Fax (440) 285-8543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | 0001422 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA181590 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1366091092
Jane R. Bagnall, CDCA's National Provider Identifier is 1366091092, issued on Sep 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chardon, OH. The record was last updated on Dec 19, 2022.