Individual
MISS ELIZABETH C O'SICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
1865 N RIDGE RD E STE A, LORAIN, OH 44055-3359
(440) 324-1300
Mailing address
1865 N RIDGE RD E STE A, LORAIN, OH 44055-3359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1700441-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254135
—
OH
Enumeration date
09/20/2015
Last updated
10/25/2019
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