| Angela Dawn Crace, PC | |
|
4641 Fulton Dr Nw, Canton, OH 44718 | |
| (330) 433-6075 | |
| (330) 433-1843 |
| Full Name | Angela Dawn Crace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4641 Fulton Dr Nw, Canton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437397320 | NPI | - | NPPES |
| 0290822 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0701176 (Ohio) | Primary |
| Entity Name | Child and Adolescent Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831172576 PECOS PAC ID: 2264712694 Enrollment ID: O20161201000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Dawn Crace, PC 4641 Fulton Dr Nw, Canton, OH 44718-2384 Ph: (330) 433-6075 | Angela Dawn Crace, PC 4641 Fulton Dr Nw, Canton, OH 44718 Ph: (330) 433-6075 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 |
Brendan Rowe, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-493-4553 Fax: 330-493-3761 |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 |
Alexis Gibbs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |
Kilee Shawd-sopko, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 |