DORETTE L JOHNSON


Address: 1711 Spring Ave Ne, Canton, OH 44714-2349
Phone: 3304546800

DORETTE L JOHNSON (NPI# 1780135780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780135780
Entity Type Individual
Full Name DORETTE L JOHNSON
Credential CDCA
Practice Address 1711 Spring Ave Ne
Canton
OH 44714-2349
Mailing Address 625 Cleveland Ave Nw
Canton
OH 44702-1805
Practice Telephone 3304546800
Practice Fax Number 3305887176
Mailing Telephone 3304538252
Mailing Fax Number 3304536716
Enumeration Date 2016-10-14
Last Update Date 2019-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDCA.150089 OH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0265988 05

Office Location

Street Address 1711 SPRING AVE NE
City CANTON
State OH
Zip Code 44714-2349

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710936901 Quest Recovery and Prevention Services Substance Abuse Rehabilitation Facility 1711 Spring Ave Ne, Canton, OH 44714-2349 2006-05-08
1508497561 Melissa Nicole Saunders Counselor 1711 Spring Ave Ne, Canton, OH 44714-2349 2020-01-29
1588295620 Kimberly B Tucker-pettay Counselor 1711 Spring Ave Ne, Canton, OH 44714-2349 2020-01-28
1760013874 Tammy D Williams Counselor 1711 Spring Ave Ne, Canton, OH 44714-2349 2020-01-28
1144790940 Jennifer Ann Bigrigg Social Worker 1711 Spring Ave Ne, Canton, OH 44714-2349 2018-12-05
1336626555 Kristina Marie Zeren Counselor 1711 Spring Ave Ne, Canton, OH 44714-2349 2018-07-20
1164910451 Therese Anne Sedon Counselor 1711 Spring Ave Ne, Canton, OH 44714-2349 2018-04-23
1790298172 Breana R Mitchell Counselor 1711 Spring Ave Ne, Canton, OH 44714-2349 2017-11-08
1447790720 Teresa Millard Counselor 1711 Spring Ave Ne, Canton, OH 44714-2349 2017-03-06
1851759229 Michelle M Smith Counselor 1711 Spring Ave Ne, Canton, OH 44714-2349 2016-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164941365 Desiree Morgan Occupational Therapy Assistant 1634 20th St. N.e., Canton, OH 44714 2017-09-19
1932525706 Cody Henninge In Home Supportive Care 2800 Market Ave N Suite 16, Canton, OH 44714 2014-03-17
1346584984 Quest Recovery and Prevention Services Substance Abuse Rehabilitation Facility 1711 Spring Avenue Nw, Canton, OH 44714 2012-11-20
1780159921 Lynne Marie Shayko Counselor 1341 Market Ave N, Canton, OH 44714 2018-10-03
1427437540 Robert D Cox Counselor 1341 Market Ave N, Canton, OH 44714 2015-05-21
1225435969 Emily A Custer Counselor 1341 Market Ave N, Canton, OH 44714 2014-11-24
1700438363 Ryan Gernert Specialist/Technologist 5323 Gardendale Ave Ne, Canton, OH 44714-1042 2019-07-14
1982171468 Adrienne Chavers Home Health 5438 Market Ave N, Canton, OH 44714-1059 2018-11-01
1912061797 Living 4 Independence Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4629 Helmsworth Dr Ne, Canton, OH 44714-1162 2006-12-19
1114306412 Haydee Thomas Registered Nurse 4611 Lindenwood Ave Ne, Canton, OH 44714-1169 2015-05-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851904890 Aurora Health Services LLC Counselor 200 6th Street Nw, Canton, OH 44702-1005 2020-08-28
1942819032 Restoration Community Services LLC Counselor 831 Market Ave N, Canton, OH 44702-1175 2020-07-24
1619590882 A.v.o Behavioral Health LLC Counselor 3745 Whipple Ave Nw Ste A, Canton, OH 44718-4805 2020-05-22
1356976930 Nadine Blase Psareas Counselor 1558 Marietta Hwy Ste 200, Canton, GA 30114-3615 2020-03-04
1245870591 Adriane Everett Counselor 906 12 St Nw, Canton, OH 44703 2020-01-14
1770123812 Kelly Wells Counselor 906 12th St Nw, Canton, OH 44703-1902 2020-01-07
1528601663 Shelly R Bowling Counselor 1522 Baum St Se, Canton, OH 44707-1107 2019-10-22
1962043141 Erin Ann Williams Counselor 1023 S Trade Days Blvd Unit 102, Canton, TX 75103-2434 2019-09-30
1346898079 Shericka Meeks Counselor 304 15th St Ne Ste B, Canton, OH 44714-2523 2019-08-27
1295293876 Diamond Lawrencethia Gay Counselor 4661 Belpar St Nw, Canton, OH 44718-3602 2019-03-04
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Competitor

Search similar providers

City CANTON
Zip Code 44714

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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