Koncilja, Katherine

Koncilja, Katherine is an sole proprietor health care provider with primary practice located at 215 Miller Rd Ste 7 , Avon Lake OH 44012-1013. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Koncilja, Katherine can be contacted via phone (440) 742-1661.

Contact Information

Primary practice address
215 Miller Rd Ste 7 Avon Lake OH 44012-1013
Phone: (440) 742-1661
Fax: (440) 653-9576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E1000011 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 090037 Ohio

Profile Details

NPI number 1831410869
LBN Legal business name Koncilja, Katherine
Credentials M.A., LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2010
Last updated Dec 19th, 2019 - about 5 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.

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