Individual
CARLENE L KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3929 ROCKY RIVER DR, CLEVELAND, OH 44111-4153
(216) 252-5800
Mailing address
3929 ROCKY RIVER DR, CLEVELAND, OH 44111-4153
(216) 252-5800
(216) 252-9055
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0007559
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0007559
PCC-S
OH
Enumeration date
06/21/2010
Last updated
06/21/2024
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