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

Mr. Charles Hazly, CDCA

Individual provider Mental Health Counselor · NPI 1245718790

Mr. Charles Hazly, CDCA is a Mental Health Counselor in Canton, Ohio. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526
Phone: (330) 956-5936
Fax: (330) 956-5623
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
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1245718790
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedAugust 6, 2018
Last updated in NPPESAugust 6, 2018
Mailing address1930 Fulton Rd Nw Ste 103, Canton, OH 44709-3526

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