LISA STANFORD
NPI 1649828385
Counselor - Addiction (Substance Use Disorder) in Canton, OH
Active since August 27, 2019
About Lisa Stanford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA STANFORD (NPI 1649828385) is an individual addiction (substance use disorder) provider in Canton, Ohio and active in the NPI registry since August 2019.
NPPES Registry Identity
NPI1649828385
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA STANFORD
Location Address304 15TH ST NE STE BCanton, OH 44714-2523
Mailing Address304 15th St Ne Ste BCanton, OH 44714-2523 · (234) 504-3008 · Fax (234) 804-3024
Phone(234) 504-3008
Fax(234) 804-3024
Sole ProprietorNo
Enumeration DateAugust 27, 2019
✔ NPI 1649828385 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
304 15TH ST NE STE B, Canton, OH 44714
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
304 15TH ST NE STE B
CANTON, OH 44714
CANTON, OH 44714
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649828385, enumerated as an "individual" on August 27, 2019.
The provider is located at 304 15TH ST NE STE B CANTON, OH 44714 and the phone number is (234) 504-3008.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
