Emily C. Addessi, LISW
Individual provider Active NPI Counselor · Canton, OH
NPI 1861687741 · NPPES record last updated Sep 13, 2007
Key facts
- NPI
- 1861687741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- I0700125 (OH)
- Practice address
- 2821 Woodlawn Ave NW
Canton, OH 44708-1423 - Phone
- (330) 479-4835
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0700125 | OH | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | I0700125 | OH | Yes |
Addresses
Primary practice location
2821 Woodlawn Ave NW
Canton, OH 44708-1423
Mailing address
2821 Woodlawn Ave NW
Canton, OH 44708-1423
Phone (330) 479-4835
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.