Organization
ALIZA M. PROKOP COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIZA PROKOP (OWNER)
(330) 716-0182
Entity
Organization
Contact information
Practice address
5114 KEN LN, VIENNA, OH 44473-9723
(330) 716-0182
Mailing address
5114 KEN LN, VIENNA, OH 44473-9723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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