Individual
EILEEN MARSALKOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC/SUPV
Contact information
Practice address
4400 EUCLID AVE, CLEVELAND, OH 44103-3734
(216) 432-7200
(216) 432-7253
Mailing address
4500 EUCLID AVE, CLEVELAND, OH 44103-3736
(216) 432-7200
(216) 432-7253
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E 0003644-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E 0003644-SUPV
STATE LICENSE
OH
Enumeration date
03/15/2016
Last updated
03/15/2016
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