Individual provider · Type 1 NPI

Jennifer Dadisman

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1740769462 Active

Practice location

1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526

Fax (330) 956-5623

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X166283 (OH)

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

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About NPI 1740769462

Jennifer Dadisman's National Provider Identifier is 1740769462, issued on Aug 13, 2018. 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 Aug 13, 2018.