MEDICARE: SARAH MAREK 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	101YP2500X	Professional Counselor	C.2204562	OH

General Provider Information

NPI Number	:	1902529589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MAREK LPC

Provider Business Mailing Address
First Line	:	1640 FRANKLIN AVE
Second Line	:
City	:	KENT
State	:	OH
Zip	:	44240-4383
Country	:	US
Telephone Number	:	440-679-1637
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 FRANKLIN AVE
Second Line	:
City	:	KENT
State	:	OH
Zip	:	44240-4383
Country	:	US
Telephone Number	:	440-679-1637
Fax Number	:

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

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	09/20/2022

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Directions to “ SARAH MAREK LPC” Practice Location

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