| Jodi Santillo, | |
|
919 2nd St Ne, Canton, OH 44704-1132 | |
| (330) 454-7917 | |
| Not Available |
| Full Name | Jodi Santillo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 919 2nd St Ne, 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 |
|---|---|---|---|
| 1417050394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E-0003086 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.0003086-SUPV (Ohio) | Primary |
| Entity Name | Community Support Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457505968 PECOS PAC ID: 7911993415 Enrollment ID: O20040421000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Santillo, 150 Cross Street, Akron, OH 44311-1026 Ph: (330) 996-9141 | Jodi Santillo, 919 2nd St Ne, Canton, OH 44704-1132 Ph: (330) 454-7917 |
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, CT 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 Mutersbaugh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958 | |
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506 |