Organization
KAREN BALUCH, LPCC BAKER FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PAUL BALUCH (COMPTROLLER)
(440) 488-8646
Entity
Organization
Contact information
Practice address
179 BROAD ST, CONNEAUT, OH 44030-2614
(440) 645-1949
(440) 858-2108
Mailing address
179 BROAD ST, CONNEAUT, OH 44030-2614
(440) 645-1949
(440) 858-2108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E1200421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199700
—
OH
Enumeration date
05/16/2018
Last updated
03/04/2021
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