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NPI Code Detail

MEDICARE: PAIGE PANELL CDCA

MEDICARE: PAIGE PANELL CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.194897OH

General Provider Information

NPI Number : 1982563094
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE PANELL CDCA
Provider Business Mailing Address
First Line : 1724 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2269
Country : US
Telephone Number : 740-442-7143
Fax Number :
Provider Business Practice Location Address
First Line : 1724 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2269
Country : US
Telephone Number : 740-442-7143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ PAIGE PANELL CDCA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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