| Renee R Molzon Counseling, Llc | |
|
447 South St Ste 1 Chardon OH 44024-1505 | |
| (440) 462-0123 | |
| Not Available |
| Full Name | Renee R Molzon Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 447 South St Ste 1, Chardon, Ohio |
| Authorized Official Name and Position | Renee R Molzon (OWNER/THERAPIST) |
| Authorized Official Contact | 4404620123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee R Molzon Counseling, Llc Po Box 495 Chardon OH 44024-0495 Ph: (440) 462-0123 | Renee R Molzon Counseling, Llc 447 South St Ste 1 Chardon OH 44024-1505 Ph: (440) 462-0123 |
| NPI Number | 1538660014 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 6901161751 |
|---|---|
| Medicare Enrollment ID | O20180525000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538660014 | NPI | - | NPPES |
| 0227385 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I1700370 (Ohio) | Primary |
| Provider Name | Renee R Molzon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912353855 PECOS PAC ID: 9335400183 Enrollment ID: I20180219002501 |
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