Individual
GINA M SKORICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW. LICDC
Contact information
Practice address
9113 KATHERINE CT, MENTOR, OH 44060-1643
(216) 466-1423
Mailing address
1281 E 360TH ST, EASTLAKE, OH 44095-3130
(440) 269-0826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161964
OH
104100000X
Social Worker
Primary
I.2405690
OH
Other
Enumeration date
11/09/2017
Last updated
08/05/2024
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