| Robert Ailes Lax, | |
|
246 S. Chestnut St., Ravenna, OH 44266 | |
| (330) 298-9391 | |
| (330) 298-9392 |
| Full Name | Robert Ailes Lax |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 246 S. Chestnut St., Ravenna, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285286443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 021208 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Ailes Lax, 246 S. Chestnut St., Ravenna, OH 44266 Ph: (330) 298-9391 | Robert Ailes Lax, 246 S. Chestnut St., Ravenna, OH 44266 Ph: (330) 298-9391 |
Nancy Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 | |
Kelly Szydlowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 | |
Roberta Christofaris, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Susaye S. Rattigan, INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Kandi J Portz-novak, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Tiffany Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Jason Sheller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3920 Lovers Ln, Ravenna, OH 44266 Phone: 330-673-1347 |