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

Bruce Shagovac, LCDCIII051027

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932583127

Bruce Shagovac, LCDCIII051027 is an Addiction (Substance Use Disorder) Counselor in Parma, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2015

Practice location Address checks out

6753 State Rd
Parma, OH 44134-4517
Phone: (440) 843-5617
Fax: (440) 843-5556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 051027 (OH)

Record details

NPI number1932583127
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCIII051027
Sole proprietorYes
NPI enumeratedJuly 17, 2015
Last updated in NPPESJuly 17, 2015

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