DUSTIN TG VACHA NPI 1093242026

NPI Information

Dustin Tg Vacha is a counselor in Canton, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Dustin Tg Vacha NPI is 1093242026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

625 CLEVELAND AVE NW
CANTON, OH
ZIP 44702-805
Phone: (330) 455-0374
Fax: (330) 455-2101

The enumeration date for this NPI number is 5/22/2017 and was last updated on 5/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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