| Provident Clinical Counseling | |
|
232 N Market St Galion OH 44833-1920 | |
| (567) 393-9693 | |
| Not Available |
| Full Name | Provident Clinical Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 232 N Market St, Galion, Ohio |
| Authorized Official Name and Position | Rachel Lucki (DIRECTOR) |
| Authorized Official Contact | 5673939693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provident Clinical Counseling 232 N Market St Galion OH 44833-1920 Ph: () - | Provident Clinical Counseling 232 N Market St Galion OH 44833-1920 Ph: (567) 393-9693 |
| NPI Number | 1912456476 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912456476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I1600187 (Ohio) | Primary |
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