| |
640 North Main Street Akron OH 44310-3017 | |
(330) 762-7481 | |
(330) 762-7484 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 640 North Main Street, Akron, Ohio |
Authorized Official Name and Position | Donald P. Finn (DIRECTOR) |
Authorized Official Contact | 3307627481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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812 Biruta Street Akron OH 44307-1104 Ph: (330) 762-7481 | 640 North Main Street Akron OH 44310-3017 Ph: (330) 762-7481 |
NPI Number | 1699730499 |
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Provider Enumeration Date | 04/18/2006 |
Last Update Date | 02/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699730499 | NPI | - | NPPES |
CA9254301 | Other | OH | GROUP MEDICARE |
MC441800 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0162 (Ohio) | Primary |
1041C0700X | Social Worker - Clinical | 0162 (Ohio) | Secondary |
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