ANDRE CARDRELL TAYLOR CDCA
NPI 1417445578
Counselor - Addiction (Substance Use Disorder) in Akron, OH
Active since April 24, 2018
About Andre Cardrell Taylor Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRE CARDRELL TAYLOR CDCA (NPI 1417445578) is an individual addiction (substance use disorder) provider in Akron, Ohio, licensed in Ohio (166211) and active in the NPI registry since April 2018.
NPPES Registry Identity
NPI1417445578
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANDRE CARDRELL TAYLORCredential: CDCA
Location Address15 FREDERICK AVEAkron, OH 44310-2904
Mailing Address1251 Weathervane Ln Apt 3aAkron, OH 44313-5167 · (440) 541-2161
Phone(330) 996-7730
Sole ProprietorYes
Enumeration DateApril 24, 2018
✔ NPI 1417445578 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 · 166211
15 FREDERICK AVE, Akron, OH 44310
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.
Counselor (Addiction (Substance Use Disorder))
15 FREDERICK AVE
AKRON, OH 44310
AKRON, OH 44310
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417445578, enumerated as an "individual" on April 24, 2018.
The provider is located at 15 FREDERICK AVE AKRON, OH 44310 and the phone number is (330) 996-7730.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).