Individual provider · Type 1 NPI

Matthew Stephen Miner, CDCA

Addiction (Substance Use Disorder) Counselor · Boardman, OH

NPI number 1992216667 Active

Practice location

960 Boardman Canfield Rd
Boardman, OH 44512-4220

Fax (330) 270-2690

Mailing address

98 Westchester Dr
Austintown, OH 44515-3901

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.140460 (OH)

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

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About NPI 1992216667

Matthew Stephen Miner, CDCA's National Provider Identifier is 1992216667, issued on Oct 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boardman, OH. The record was last updated on Oct 20, 2017.