Individual
KATIE A MARCHINCHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, P.C.C
Contact information
Practice address
9930 JOHNNYCAKE RIDGE RD STE 4F, MENTOR, OH 44060-6762
(440) 579-5100
(440) 579-5104
Mailing address
9930 JOHNNYCAKE RIDGE RD STE 4F, MENTOR, OH 44060-6762
(440) 579-5100
(440) 579-5104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E1000347
OH
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208743
—
OH
05
—
0483044
—
OH
05
—
2069738
—
OH
Enumeration date
06/02/2011
Last updated
03/23/2023
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