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NPI Code Detail

MEDICARE: MELISSA JEAN KATANIC

MEDICARE: MELISSA JEAN KATANIC
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1477208668
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA JEAN KATANIC
Provider Business Mailing Address
First Line : 527 LLOYD ST
Second Line :
City : BARBERTON
State : OH
Zip : 44203-1969
Country : US
Telephone Number : 234-217-8882
Fax Number :
Provider Business Practice Location Address
First Line : 205 WADSWORTH RD
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-9580
Country : US
Telephone Number : 234-217-8882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2022
Last Update Date : 02/16/2022

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Directions to “ MELISSA JEAN KATANIC ” Practice Location

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