| Wisemind Counseling Llc | |
|
112 S Water St Ste B Kent OH 44240-3689 | |
| (330) 968-8224 | |
| Not Available |
| Full Name | Wisemind Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 112 S Water St Ste B, Kent, Ohio |
| Authorized Official Name and Position | Susan Marie Clark (PROFESSIONAL CLINICAL COUNSELOR) |
| Authorized Official Contact | 3309688224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisemind Counseling Llc 112 S Water St Ste B Kent OH 44240-3689 Ph: (330) 968-8224 | Wisemind Counseling Llc 112 S Water St Ste B Kent OH 44240-3689 Ph: (330) 968-8224 |
| NPI Number | 1902464621 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902464621 | NPI | - | NPPES |
| 0329816 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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