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NPI Code Detail

MEDICARE: ANN MARIE SCALERO MS,LPCC-S

MEDICARE: ANN MARIE SCALERO MS,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
1101YM0800XMental Health CounselorE.0008000-SUPVOH
2101YP2500XProfessional CounselorE.0008000-SUPVOH

General Provider Information

NPI Number : 1629174115
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE SCALERO MS,LPCC-S
Provider Business Mailing Address
First Line : 3095 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1983
Country : US
Telephone Number : 937-293-8300
Fax Number : 937-293-9455
Provider Business Practice Location Address
First Line : 3095 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1983
Country : US
Telephone Number : 937-293-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 04/23/2024

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