Individual provider · Type 1 NPI

Andre Grimes, CDCA, PRS

Addiction (Substance Use Disorder) Counselor · Massillon, OH

NPI number 1942935275 Active

Practice location

1680 Nave Rd SE
Massillon, OH 44646-9604

Fax (330) 830-0912

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.175238 (OH)
Peer Specialist 175T00000XPRS.008050 (OH)

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

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About NPI 1942935275

Andre Grimes, CDCA, PRS's National Provider Identifier is 1942935275, issued on Jul 20, 2022. 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 Jun 30, 2026.