Individual provider · Type 1 NPI

Todd M. Wachtel, PRS, CDCA

Peer Specialist · Canton, OH

NPI number 1992595052 Active

Practice location

625 Cleveland Ave NW
Canton, OH 44702-1805

Fax (330) 455-2101

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.141714 (OH)
Peer Specialist Primary 175T00000XPRS.000327 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1992595052

Todd M. Wachtel, PRS, CDCA's National Provider Identifier is 1992595052, issued on May 10, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canton, OH. The record was last updated on Aug 26, 2026.