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MICHAEL JACKSON CT,CDCA
NPI 1730503822
Counselor - Addiction (Substance Use Disorder) in Canton, OH

Active since February 10, 2014
1341 MARKET AVE N, CANTON, OH 44714(330) 453-8252(330) 453-6716 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Jackson Ct,cdca NPPES

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

MICHAEL JACKSON CT,CDCA (NPI 1730503822) is an individual addiction (substance use disorder) provider in Canton, Ohio, licensed in Ohio (1300648) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1730503822
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL JACKSONCredential: CT,CDCA
Location Address1341 MARKET AVE NCanton, OH 44714-2605
Mailing Address1341 Market Ave NCanton, OH 44714-2605 · (330) 453-8252 · Fax (330) 453-6716
Phone(330) 453-8252
Fax(330) 453-6716
Sole ProprietorNo
Enumeration DateFebruary 10, 2014
✔ NPI 1730503822 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 · 1300648
1341 MARKET AVE N, Canton, OH 44714
Open in Google Maps ↗

Other Identifiers 1

Medicaid2901131OH

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))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
AMY NELSON CT, CDCA
Counselor (Addiction (Substance Use Disorder))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
HILLARY A WHITEMAN
Counselor (Addiction (Substance Use Disorder))
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
OBIAGERI EBERE NGWAOGU CT
Counselor
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
JESSICA AUSTIN LPN
Licensed Practical Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
MRS. DYAN MARIE TUCCI LPN
Licensed Practical Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
DENISE A TRIPP LPC
Counselor (Mental Health)
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252
CHELSIE MARIE GRESSER RN
Registered Nurse
1341 MARKET AVE N
CANTON, OH 44714
Stark County (330) 453-8252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1730503822. It was assigned to this individual provider in the NPPES registry on February 10, 2014.

Where is Michael Jackson located?

Michael Jackson practices at 1341 Market Ave N, Canton, OH 44714. The listed phone number is (330) 453-8252.

What is Michael Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.