MEDICARE: ROCCO CAPRA LPC

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1336866359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCCO CAPRA LPC

Provider Business Mailing Address
First Line	:	4983 RIDGE RD
Second Line	:
City	:	WADSWORTH
State	:	OH
Zip	:	44281-9738
Country	:	US
Telephone Number	:	567-280-0456
Fax Number	:

Provider Business Practice Location Address
First Line	:	4983 RIDGE RD
Second Line	:
City	:	WADSWORTH
State	:	OH
Zip	:	44281-9738
Country	:	US
Telephone Number	:	567-280-0456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2022
Last Update Date	:	06/29/2024

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Directions to “ ROCCO CAPRA LPC” Practice Location

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