IndividualActive
Andrew Telshaw
NPI 1063376358 · Addiction (Substance Use Disorder) Counselor · Kent, OH
Provider details
- NPI number
- 1063376358
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- CDCA.192702
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
143 Gougler Ave
Kent, OH 44240-2401
Phone: (330) 673-1016
Approximate (ZIP-level) locationGet directions
Mailing address
143 Gougler Ave
Kent, OH 44240-2401
Registry dates
- Enumerated
- 2025-12-11
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.