Individual provider · Type 1 NPI

Angela Rose Shaver, CDCA

Addiction (Substance Use Disorder) Counselor · Jackson, OH

NPI number 1831770171 Active

Practice location

14761 State Route 93 Unit 4
Jackson, OH 45640-9820

Mailing address

14761 St Rt 93 Unit 4
Jackson, OH 45640

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X176433 (OH)

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

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About NPI 1831770171

Angela Rose Shaver, CDCA's National Provider Identifier is 1831770171, issued on Apr 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, OH. The record was last updated on Apr 19, 2021.