Individual
JACQUES PELSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S, LIDCD
Contact information
Practice address
1680 NAVE RD SE, MASSILLON, OH 44646-9604
(330) 830-8740
(330) 830-0912
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161995
OH
101YP2500X
Professional Counselor
Primary
E.1901301-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266616
—
OH
Enumeration date
03/02/2016
Last updated
07/07/2022
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