person
Mrs. Jane R Bagnall, CDCA
Addiction (Substance Use Disorder) Counselor in Chardon, Ohio
NPI 1366091092

Jane R Bagnall is an Addiction (Substance Use Disorder) Counselor based in Chardon, OH and is specialized in Addiction (Substance Use Disorder). Jane R Bagnall practices in Chardon, OH and has the professional credentials of CDCA. The NPI Number for Jane R Bagnall is 1366091092 and holds a License No. 0001422 (Ohio).

The current practice location address for Jane R Bagnall is 209 Center St, Chardon, OH and can be reached out via phone at 440-205-2670 and via fax at 440-285-8543. You can also correspond with Jane R Bagnall through the mailing address at 209 CENTER ST, CHARDON, OH - 44024-1189 (mailing address contact number: 440-205-2670).

Location: 209 Center St, Chardon, OH, 44024-1189
person
Provider Profile Details
NPI Number
1366091092
Provider Name
Jane R Bagnall
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
209 Center St, Chardon, OH, 44024-1189
Phone Number
440-205-2670
Fax Number
440-285-8543
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 Center St
City
State
Zip
44024-1189
Phone Number
440-205-2670
Fax Number
440-285-8543
person
Provider Business Mailing Address Details
Address
209 Center St
City
State
Zip
44024-1189
Phone Number
440-205-2670
Fax Number
440-285-8543
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA181590 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
0001422 (Ohio)
Definition
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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