Individual
JANELL SUPANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTT, CT
Contact information
Practice address
812 BIRUTA ST, AKRON, OH 44307-1104
(330) 762-7481
Mailing address
429 NORTHVALE DR, CHIPPEWA LAKE, OH 44215-9719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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