Mr Matthew S Ragon, LPCC, LICDC | |
832 Mckinley Ave Nw, Canton, OH 44703-2463 | |
(330) 455-9407 | |
(330) 455-8706 |
Full Name | Mr Matthew S Ragon |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 832 Mckinley Ave Nw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447369384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 991493 (Ohio) | Primary |
101YP2500X | Counselor - Professional | E0003981 (Ohio) | Primary |
Entity Name | Portage Path Community Mental Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225087802 PECOS PAC ID: 5597663344 Enrollment ID: O20031230000716 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew S Ragon, LPCC, LICDC 832 Mckinley Ave Nw, Canton, OH 44703-2463 Ph: (330) 455-9407 | Mr Matthew S Ragon, LPCC, LICDC 832 Mckinley Ave Nw, Canton, OH 44703-2463 Ph: (330) 455-9407 |
Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 | |
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716 | |
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 | |
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655 | |
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506 | |
Zakree Buccitelli, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 |