Charles P Williams, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Boardman, OH
NPI 1992208656 · NPPES record last updated Mar 8, 2018
Key facts
- NPI
- 1992208656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 920 Boardman Canfield Rd
Boardman, OH 44512-4218 - Phone
- (330) 953-3401
- NPI assigned
- Mar 8, 2018
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OH | Yes |
Addresses
Primary practice location
920 Boardman Canfield Rd
Boardman, OH 44512-4218
Mailing address
920 Boardman Canfield Rd
Boardman, OH 44512-4218
Phone (330) 953-3401
Other providers in Boardman, OH
- Westrn Kat Services LLC
- Chivas Whipple
- Kevin Michael White
- Kristyana Wichert
- Maribeth Willard
- Jessica Williams
- Courtney Wilson
- Daniel Pearl Wilson
- Tara D Winchester
- Melinda S Winsen
All providers in Boardman, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2018. 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.