# DIRTY TALK COUNSELING AND CONSULTATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174452403
- **Authorized official:** DR. JERAD ANTHONY MINIC DSW, LISW-S (OWNER)
- **Authorized official phone:** (937) 441-0159

## Contact information

- **Practice address:** 6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
- **Practice address phone:** (937) 441-0159
- **Mailing address:** 6545 MARKET AVE N STE 100, CANTON, OH 44721-2430
- **Mailing address phone:** (937) 441-0159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2026
- **Last updated:** 05/14/2026