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Individual

MR. ANTHONY MUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LMHC, LPC

Contact information

Practice address
179 BROAD ST, CONNEAUT, OH 44030-2614
(440) 487-7930
Mailing address
179 BROAD ST, CONNEAUT, OH 44030-2614
(440) 681-2041

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61510024
WA
101YP2500X
Professional Counselor
C.2103535
OH
224Z00000X
Occupational Therapy Assistant
OTA006143
OH

Other

Enumeration date
02/11/2020
Last updated
04/30/2024
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