Individual
MR. IAN MICHAEL DEWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1700329
OH
101YP2500X
Professional Counselor
Primary
E.2606597
OH
Other
Enumeration date
08/01/2020
Last updated
02/26/2026
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