Individual
ANNA MYTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 MARS AVE, LAKEWOOD, OH 44107-3822
(216) 202-5196
Mailing address
PO BOX 24166, CLEVELAND, OH 44124-0166
(216) 202-5196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
07/23/2021
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