Chichak, Amy
Chichak, Amy is an individual health care provider with primary practice located at 535 Marmion Ave , Youngstown OH 44502-2323. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Chichak, Amy can be contacted via phone (330) 782-5664.Contact Information
Primary practice address
535 Marmion Ave
Youngstown OH 44502-2323
Phone: (330) 782-5664
Fax: (330) 782-1614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C0500358 | Ohio |
Profile Details
| NPI number | 1891989687 |
|---|---|
| LBN Legal business name | Chichak, Amy |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Nov 6th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891989687 | NPPES |
| Ohio | MEDICAID | 0803312 |
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