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

Mrs. Jane R Bagnall, CDCA

Individual provider Peer Specialist · NPI 1366091092

Mrs. Jane R Bagnall, CDCA is a Peer Specialist in Chardon, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

209 Center St
Chardon, OH 44024-1189
Phone: (440) 205-2670
Fax: (440) 285-8543
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 CDCA181590 (OH)
Peer Specialist Taxonomy 175T00000X · Licence 0001422 (OH)

Record details

NPI number1366091092
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

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