Individual
JOHN M GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC'S
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E4358
OH
1041C0700X
Clinical Social Worker
S0016960
OH
Other
Enumeration date
08/30/2006
Last updated
04/15/2016
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