person
Angela Rose Shaver, CDCA
Addiction (Substance Use Disorder) Counselor in Jackson, Ohio
NPI 1831770171

Angela Rose Shaver is an Addiction (Substance Use Disorder) Counselor based in Jackson, OH and is specialized in Addiction (Substance Use Disorder). Angela Rose Shaver practices in Jackson, OH and has the professional credentials of CDCA. The NPI Number for Angela Rose Shaver is 1831770171 and holds a License No. 176433 (Ohio).

The current practice location address for Angela Rose Shaver is 14761 State Route 93 Unit 4, Jackson, OH and can be reached out via phone at 740-577-3100.

Location: 14761 State Route 93 Unit 4, Jackson, OH, 45640
person
Provider Profile Details
NPI Number
1831770171
Provider Name
Angela Rose Shaver
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
14761 State Route 93 Unit 4, Jackson, OH, 45640
Phone Number
740-577-3100
Fax Number
Provider Enumeration Date
04/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
176433 05 OH
institution
Provider Business Practice Location Address Details
Address
14761 State Route 93 Unit 4
City
State
Zip
45640-9820
Phone Number
740-577-3100
Fax Number
person
Provider Business Mailing Address Details
Address
14761 State Route 93 Unit 4
City
State
Zip
45640-9820
Phone Number
740-577-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
176433 (Ohio)
Definition
Definition to come...
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