Marina Jean Miceli, LPCC | |
143 Gougler Ave, Kent, OH 44240-2401 | |
(330) 677-4124 | |
Not Available |
Full Name | Marina Jean Miceli |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 143 Gougler Ave, Kent, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043770597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E.2203134 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | E.2203134-SUPV (Ohio) | Primary |
Entity Name | Family & Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750607057 PECOS PAC ID: 1557495223 Enrollment ID: O20100817000529 |
Entity Name | Axesspointe Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548214935 PECOS PAC ID: 5395705545 Enrollment ID: O20170131000781 |
Mailing Address | Practice Location Address |
---|---|
Marina Jean Miceli, LPCC 143 Gougler Ave, Kent, OH 44240-2401 Ph: (330) 677-4124 | Marina Jean Miceli, LPCC 143 Gougler Ave, Kent, OH 44240-2401 Ph: (330) 677-4124 |
Joan Teresse Lucci, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 E Erie St Ste 304, Kent, OH 44240 Phone: 330-835-7477 | |
Nahja Chesney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Ms. Mina Sakamoto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5982 Rhodes Rd, Kent, OH 44240 Phone: 330-673-1347 Fax: 330-678-3677 | |
Mrs. Rosa J Lawson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Martinel Dr, Kent, OH 44240 Phone: 330-307-2295 | |
Mr. Joseph J Ziarko, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 | |
Sarah Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Gougler Ave, Kent, OH 44240 Phone: 330-677-4124 |