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NPI Code Detail

MEDICARE: PATRICIA MARES PCC

MEDICARE:   PATRICIA  MARES  PCC
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
1101YP2500XProfessional CounselorE.0900309OH

General Provider Information

NPI Number : 1326450552
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MARES PCC
Provider Business Mailing Address
First Line : 841 E MAIN ST STE B
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-3509
Country : US
Telephone Number : 740-804-6800
Fax Number : 740-721-4155
Provider Business Practice Location Address
First Line : 382 ARCH ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1518
Country : US
Telephone Number : 740-804-6800
Fax Number : 740-721-4155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2014
Last Update Date : 06/03/2026

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Directions to “ PATRICIA MARES PCC” Practice Location

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