Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ronald Todd Provance, PRS, CDCA

Individual provider Peer Specialist · NPI 1306665195

Ronald Todd Provance, PRS, CDCA is a Peer Specialist in Massillon, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1680 Nave Rd SE
Massillon, OH 44646-9604
Phone: (330) 830-8740
Fax: (330) 830-0912
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence PRS.005768 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.197022 (OH)

Record details

NPI number1306665195
Entity typeIndividual (Type 1)
GenderMale
Credentials PRS , CDCA
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 16, 2026

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