Individual
JILL VON HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(419) 961-8521
(567) 560-4484
Mailing address
7394 KLINGSTON ST NW, MASSILLON, OH 44646-1033
(419) 961-8521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000085794
OH
101Y00000X
Counselor
Primary
LCDCII.161632
OH
Other
Enumeration date
04/21/2017
Last updated
02/04/2026
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