NICHOLAUS M KEATON CDCA
NPI 1528895109
Counselor - Addiction (Substance Use Disorder) in Massillon, OH
Active since September 17, 2024
About Nicholaus M Keaton Cdca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAUS M KEATON CDCA (NPI 1528895109) is an individual addiction (substance use disorder) provider in Massillon, Ohio, licensed in Ohio (CDCA.189401) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1528895109
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameNICHOLAUS M KEATONCredential: CDCA
Location Address1680 NAVE RD SEMassillon, OH 44646-9604
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716
Phone(330) 830-8740
Fax(330) 830-0912
Sole ProprietorNo
Enumeration DateSeptember 17, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1528895109 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 · CDCA.189401
1680 NAVE RD SE, Massillon, OH 44646
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.
Substance Abuse Rehabilitation Facility
1680 NAVE RD SE
MASSILLON, OH 44646
MASSILLON, OH 44646
Counselor (Addiction (Substance Use Disorder))
1680 NAVE RD SE
MASSILLON, OH 44646
MASSILLON, OH 44646
Counselor (Addiction (Substance Use Disorder))
1680 NAVE RD SE
MASSILLON, OH 44646
MASSILLON, OH 44646
Counselor (Addiction (Substance Use Disorder))
1680 NAVE RD SE
MASSILLON, OH 44646
MASSILLON, OH 44646
Counselor (Addiction (Substance Use Disorder))
1680 NAVE RD SE
MASSILLON, OH 44646
MASSILLON, OH 44646
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528895109, enumerated as an "individual" on September 17, 2024.
The provider is located at 1680 NAVE RD SE MASSILLON, OH 44646 and the phone number is (330) 830-8740.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).