Individual
ALLISON VANDRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34950 CHARDON RD STE 210, WILLOUGHBY HILLS, OH 44094-9162
(440) 305-5890
(440) 205-1009
Mailing address
34950 CHARDON RD STE 210, WILLOUGHBY HILLS, OH 44094-9162
(440) 305-5890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2303441
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864093
—
OH
Enumeration date
09/13/2018
Last updated
01/23/2024
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