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NPI Code Detail

MEDICARE: ANN MARIE MCHALE LPCCS, LSW

MEDICARE: ANN MARIE MCHALE LPCCS, LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorE0003733OH
2101YP2500XProfessional CounselorE0003733OH

General Provider Information

NPI Number : 1174746754
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE MCHALE LPCCS, LSW
Provider Business Mailing Address
First Line : 3445 S MAIN ST
Second Line :
City : COVENTRY TOWNSHIP
State : OH
Zip : 44319-3028
Country : US
Telephone Number : 303-644-4095
Fax Number : 330-645-2033
Provider Business Practice Location Address
First Line : 3445 S MAIN ST
Second Line :
City : COVENTRY TOWNSHIP
State : OH
Zip : 44319-3028
Country : US
Telephone Number : 303-644-4095
Fax Number : 330-645-2033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 11/06/2018

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Directions to “ ANN MARIE MCHALE LPCCS, LSW” Practice Location

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