Individual provider · Type 1 NPI
Jill Thewlis, MA, PCC, LCDCIII
Addiction (Substance Use Disorder) Counselor · Massillon, OH
NPI number
1649259136
Active
Practice location
876 Amherst Rd NE
Massillon, OH 44646-8528
Fax (330) 830-3395
Mailing address
625 Cleveland Ave NW
Canton, OH 44702-1805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 051017 (OH) |
| Professional Counselor | 101YP2500X | E2393 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1649259136
Jill Thewlis, MA, PCC, LCDCIII's National Provider Identifier is 1649259136, issued on Jan 12, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Massillon, OH. The record was last updated on Jul 13, 2026.