Berresford, Joelle C G

Berresford, Joelle C G is an individual health care provider with primary practice located at 1711 Spring Ave Ne , Canton OH 44714-2349. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Berresford, Joelle C G can be contacted via phone (330) 454-6800.

Contact Information

Primary practice address
1711 Spring Ave Ne Canton OH 44714-2349
Phone: (330) 454-6800
Fax: (330) 588-7176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X APS.003332 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.186366 Ohio

Profile Details

NPI number 1093420424
LBN Legal business name Berresford, Joelle C G
Credentials CDCA, PRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2023
Last updated Nov 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093420424 NPPES
Ohio MEDICAID 0008327

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