Individual
CAROLYN SUE RODECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-SUPV, LCDCIII
Contact information
Practice address
6941 COLUMBIA RD, OLMSTED FALLS, OH 44138-1525
(440) 427-4635
Mailing address
5899 TREE MOSS LN, NORTH RIDGEVILLE, OH 44039-2557
(216) 978-5183
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E1100489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356718142
STATE OF OHIO
OH
Enumeration date
08/09/2018
Last updated
08/09/2018
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