Individual
JAMES F HOSTICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
780 E 185TH ST, CLEVELAND, OH 44119-2174
(216) 681-9264
Mailing address
PO BOX 771125, LAKEWOOD, OH 44107
(216) 543-5792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1902038
OH
101YP2500X
Professional Counselor
C.1902038
OH
Other
Enumeration date
06/17/2019
Last updated
12/12/2023
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