Individual
CAMERON MICHAEL MAZZIOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
3745 WHIPPLE AVE NW, CANTON, OH 44718-4805
(330) 331-7506
Mailing address
70 DELAWARE TRL, MALVERN, OH 44644-9502
(330) 771-3796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
176517
OH
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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