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COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY NPI 1518225473


NPI Information

NPI: 1518225473
Provider Name: COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2801 C CT
ASHTABULA, OH
ZIP 44004
Phone: (440) 998-4210
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COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY is an addiction (substance use disorder) counselor in Ashtabula, OH. COMMUNITY COUNSELING CENTER OF ASHTABULA COUNTY NPI is 1518225473. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2801 C CT
ASHTABULA, OH
ZIP 44004-577
Phone: (440) 998-4210
Fax: (440) 998-6489

The provider's authorized official is Kathy Regal .
The authorized official title is Chief Executive Officer and has the following contact phone number (440) 998-4210.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
22084A0401XPsychiatry & NeurologyAddiction MedicineNo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
4101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12877329MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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