CAMERON MICHAEL MAZZIOTTA CDCA
NPI 1063176915
Counselor - Addiction (Substance Use Disorder) in Canton, OH
Active since October 27, 2021
About Cameron Michael Mazziotta Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMERON MICHAEL MAZZIOTTA CDCA (NPI 1063176915) is an individual addiction (substance use disorder) provider in Canton, Ohio, licensed in Ohio (176517) and active in the NPI registry since October 2021.
NPPES Registry Identity
NPI1063176915
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCAMERON MICHAEL MAZZIOTTACredential: CDCA
Location Address3745 WHIPPLE AVE NWCanton, OH 44718-4805
Mailing Address70 Delaware TrlMalvern, OH 44644-9502 · (330) 771-3796
Phone(330) 331-7506
Sole ProprietorYes
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1063176915 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 176517
3745 WHIPPLE AVE NW, Canton, OH 44718
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3745 WHIPPLE AVE NW, SUITE A
CANTON, OH 44718
CANTON, OH 44718
Psychiatry & Neurology (Psychiatry)
3745 WHIPPLE AVE NW, SUITE A
CANTON, OH 44718
CANTON, OH 44718
Counselor (Addiction (Substance Use Disorder))
3745 WHIPPLE AVE NW
CANTON, OH 44718
CANTON, OH 44718
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063176915, enumerated as an "individual" on October 27, 2021.
The provider is located at 3745 WHIPPLE AVE NW CANTON, OH 44718 and the phone number is (330) 331-7506.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
