Individual provider · Type 1 NPI
Tracy Louise Ambrose, CDCA
Addiction (Substance Use Disorder) Counselor · Canton, OH
NPI number
1912840034
Active
Practice location
131 Wertz Ave NW Apt 1
Canton, OH 44708-4171
Mailing address
2818 4th St NW Apt 1
Canton, OH 44708-4508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 195729 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912840034
Tracy Louise Ambrose, CDCA's National Provider Identifier is 1912840034, issued on Apr 13, 2026. 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 Apr 13, 2026.