MEDICARE: MRS. CAROLYN ANN ABEL 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	194035	OH

General Provider Information

NPI Number	:	1558204909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROLYN ANN ABEL CDCA

Provider Business Mailing Address
First Line	:	3486 COLUMBUS RD NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-4455
Country	:	US
Telephone Number	:	330-209-4561
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 WERTZ AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-4171
Country	:	US
Telephone Number	:	330-256-8847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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