Individual provider · Type 1 NPI

Jessica M. Edmundson

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1689116303 Active

Practice location

625 Cleveland Ave NW
Canton, OH 44702-1805

Fax (330) 453-6716

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.130591 (OH)

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

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About NPI 1689116303

Jessica M. Edmundson's National Provider Identifier is 1689116303, issued on Nov 11, 2016. 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 Nov 11, 2016.