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NPI Code Detail

MEDICARE: KATIE MUSA IMFT-S, LPCC-S

MEDICARE: KATIE MUSA IMFT-S, LPCC-S
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
1106H00000XMarriage & Family Therapist
2101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11215218755OTHERNPI

General Provider Information

NPI Number : 1215218755
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE MUSA IMFT-S, LPCC-S
Provider Business Mailing Address
First Line : PO BOX 42
Second Line :
City : HINCKLEY
State : OH
Zip : 44233-0042
Country : US
Telephone Number : 440-447-0515
Fax Number :
Provider Business Practice Location Address
First Line : 6785 WALLINGS RD
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-3024
Country : US
Telephone Number : 440-457-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2011
Last Update Date : 02/25/2019

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