Organization
COLLABORATIVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH BERNADETTE MACEK LPCC (OWNER)
(330) 398-5000
Entity
Organization
Contact information
Practice address
10623 SOUTH ST, GARRETTSVILLE, OH 44231-1108
(330) 398-5000
Mailing address
12066 PRENTISS RD, GARRETTSVILLE, OH 44231-9694
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669874251
NATIONAL PROVIDER IDENTIFICATION
—
Enumeration date
03/16/2020
Last updated
03/16/2020
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