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Michelle M Lantz, CDCA,PRS
Addiction (Substance Use Disorder) Counselor in Canton, Ohio
NPI 1508597907

Michelle M Lantz is an Addiction (Substance Use Disorder) Counselor based in Canton, OH and is specialized in Addiction (Substance Use Disorder). Michelle M Lantz practices in Canton, OH and has the professional credentials of CDCA,PRS. The NPI Number for Michelle M Lantz is 1508597907 and holds a License No. APS.003299 (Ohio).

The current practice location address for Michelle M Lantz is 1711 Spring Ave Ne, Canton, OH and can be reached out via phone at 330-454-6800 and via fax at 330-588-7176.

Location: 1711 Spring Ave Ne, Canton, OH, 44702-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508597907
Provider Name
Michelle M Lantz
Credential
CDCA,PRS
Provider Entity Type
Individual
Gender
Female
Address
1711 Spring Ave Ne, Canton, OH, 44702-1805
Phone Number
330-454-6800
Fax Number
330-588-7176
Provider Enumeration Date
06/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1711 Spring Ave Ne
City
Canton
State
Ohio
Zip
44714-2349
Phone Number
330-454-6800
Fax Number
330-588-7176
person
Provider Business Mailing Address Details
Address
1711 Spring Ave Ne
City
Canton
State
Ohio
Zip
44714-2349
Phone Number
330-454-6800
Fax Number
330-588-7176
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.184902 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
APS.003299 (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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