Individual
AILEEN CLARE GOCKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
420 W MAIN ST, KENT, OH 44240-2208
(330) 677-2000
(330) 548-0039
Mailing address
420 W MAIN ST, KENT, OH 44240-2208
(330) 677-2000
(330) 548-0039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C100006
OH
101YM0800X
Mental Health Counselor
C100006
OH
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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