Individual
BARBARA J PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC-CS
Contact information
Practice address
3484 AMHERST AVE NW, MASSILLON, OH 44646-1732
(330) 575-8895
Mailing address
3484 AMHERST AVE NW, MASSILLON, OH 44646-1732
(330) 575-8895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.011148 CS
OH
101YP2500X
Professional Counselor
Primary
E.0004203-SUPV
OH
101YP2500X
Professional Counselor
TPMC5148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096549
—
OH
Enumeration date
04/25/2007
Last updated
11/08/2024
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