Individual
MR. CARL JAMES VONDRACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M ED, PCC-S
Contact information
Practice address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 292-3999
Mailing address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 292-3999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0900631-SUPV
OH
Other
Enumeration date
08/15/2017
Last updated
12/11/2018
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