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NPI Code Detail

MEDICARE: MS. NANCI PANE LPCC-S

MEDICARE: MS. NANCI PANE 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
1104100000XSocial WorkerE3979OH
2101YM0800XMental Health CounselorE.0003979OH

General Provider Information

NPI Number : 1306041405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCI PANE LPCC-S
Provider Business Mailing Address
First Line : 9220 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6412
Country : US
Telephone Number : 440-354-9924
Fax Number : 440-354-5808
Provider Business Practice Location Address
First Line : 9220 MENTOR AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-6412
Country : US
Telephone Number : 440-354-9924
Fax Number : 440-354-5808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 08/03/2022

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Directions to “ MS. NANCI PANE LPCC-S” Practice Location

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