Staszak, Autumn

Staszak, Autumn is an individual health care provider with primary practice located at 695 South St , Chardon OH 44024-1474. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Staszak, Autumn can be contacted via phone (440) 286-1553.

Contact Information

Primary practice address
695 South St Chardon OH 44024-1474
Phone: (440) 286-1553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0500753 Ohio

Profile Details

NPI number 1932339819
LBN Legal business name Staszak, Autumn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2009
Last updated Feb 6th, 2023 - about last year

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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