Individual
JAN S KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
25 ORCHARD PARK, TIFFIN, OH 44883-3430
(419) 448-9477
Mailing address
25 ORCHARD PARK, TIFFIN, OH 44883-3430
(419) 448-9477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E-2525
OH
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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