Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Child and Adolescent Behavioral Health

Organization Addiction (Substance Use Disorder) Counselor · NPI 1821577131

Child and Adolescent Behavioral Health is an Addiction (Substance Use Disorder) Counselor in Canton, Ohio. Works from 4 locations. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

4641 Fulton Dr NW
Canton, OH 44718-2384
Phone: (330) 433-6075
Fax: (330) 494-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 405 S Linden Ave, Alliance, OH 44601-3035 — (330) 433-6075
  • 919 2nd St Ne, Canton, OH 44704-1132 — (330) 454-7917
  • 1801 Schneider St Ne, Canton, OH 44721-3349 — (330) 470-4061

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1821577131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Shahan — Hr Admin Asst/Credentialing · (330) 433-6075
NPI enumeratedAugust 8, 2018
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address4641 Fulton Dr Nw, Canton, OH 44718-2384

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