Individual
AMANDA L NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
(216) 378-3906
Mailing address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
(216) 378-3906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.1200211-CR
OH
101YM0800X
Mental Health Counselor
Primary
E.1200211
OH
101YP2500X
Professional Counselor
C.1200211
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
06/19/2013
Last updated
01/28/2015
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