REGINA S FISH CDCA - NPI 1306400056 - Counselor in Canton, OH

Q: What is Regina Fish's NPI number?

The NPI number for Regina Fish is 1306400056. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Q: What is Regina Fish's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Regina Fish was last updated on May 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Regina S Fish Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINA S FISH CDCA (NPI 1306400056) is an individual addiction (substance use disorder) provider in Canton, Ohio, licensed in Ohio (CDCA170369) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1306400056

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameREGINA S FISHCredential: CDCA

Location Address1341 MARKET AVE NCanton, OH 44714-2605

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 453-8252

Fax(330) 452-4655

Sole ProprietorNo

Enumeration DateApril 29, 2019

Last NPPES UpdateMay 2, 20233 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1306400056 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 · CDCA170369

1341 MARKET AVE N, Canton, OH 44714

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Other Identifiers 1

Medicaid0346009OH

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.

JOSEPH N LOCKETT LICDC

Counselor (Addiction (Substance Use Disorder))