| Martha D Laska Lpcc Llc | |
|
25201 Chagrin Blvd Ste 390 Beachwood OH 44122-5637 | |
| (216) 302-1444 | |
| Not Available |
| Full Name | Martha D Laska Lpcc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 25201 Chagrin Blvd Ste 390, Beachwood, Ohio |
| Authorized Official Name and Position | Martha Laska (OWNER) |
| Authorized Official Contact | 3306183733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha D Laska Lpcc Llc 25201 Chagrin Blvd Ste 390 Beachwood OH 44122-5637 Ph: (216) 302-1444 | Martha D Laska Lpcc Llc 25201 Chagrin Blvd Ste 390 Beachwood OH 44122-5637 Ph: (216) 302-1444 |
| NPI Number | 1528692712 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528692712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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