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Organization

DIRTY TALK COUNSELING AND CONSULTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERAD ANTHONY MINIC DSW, LISW-S (OWNER)
(937) 441-0159
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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