IndividualActive
Angela Shaver, CDCA
NPI 1831770171 · Addiction (Substance Use Disorder) Counselor · Jackson, OH
Provider details
- NPI number
- 1831770171
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- No
- License
- 176433 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
14761 State Route 93 Unit 4
Jackson, OH 45640-9820
Phone: (740) 577-3100
Approximate (ZIP-level) locationGet directions
Mailing address
14761 St Rt 93 Unit 4
Jackson, OH 45640
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.