Susan B Coonrod, LPCC LICDC | |
3528 Canfield Rd, Suite C, Youngstown, OH 44511-2779 | |
(330) 270-3040 | |
Not Available |
Full Name | Susan B Coonrod |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3528 Canfield Rd, Youngstown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366527087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 981163 (Ohio) | Primary |
101YM0800X | Counselor - Mental Health | E0002342 (Ohio) | Primary |
Entity Name | Churchill Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013996271 PECOS PAC ID: 3779532262 Enrollment ID: O20050121000876 |
Mailing Address | Practice Location Address |
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Susan B Coonrod, LPCC LICDC 420 Millbrook St, Canfield, OH 44406-9621 Ph: (330) 717-3694 | Susan B Coonrod, LPCC LICDC 3528 Canfield Rd, Suite C, Youngstown, OH 44511-2779 Ph: (330) 270-3040 |
Monique T Brown, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 978 Winona Dr, Youngstown, OH 44511 Phone: 330-716-8999 | |
Evelyn C Clark, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0070 | |
Alexis S Mcandrew, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074 | |
Katalin Bacha, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074 | |
Samantha A Cross, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Chalmers Ave, Youngstown, OH 44511 Phone: 330-797-0070 | |
Jennifer Palumbo, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 310 Churchill Hubbard Rd, Suite A, Youngstown, OH 44505 Phone: 330-759-3040 Fax: 330-759-3070 | |
Eleni N. Gage, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Belmont Ave, Youngstown, OH 44502 Phone: 330-744-2991 Fax: 330-744-2971 |