Individual
REBECCA NICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024
(440) 283-5681
Mailing address
4000 CINWOOD ST NW, MASSILLON, OH 44646-5113
(330) 949-9859
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E1800547
OH
106H00000X
Marriage & Family Therapist
1600006
OH
Other
Enumeration date
01/28/2016
Last updated
06/19/2018
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