Susan C Vesely, LPCC
Counselor, Professional in Mentor, OH. Individual provider (NPI-1).
NPI number1639200090
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1639200090
- Entity type
- Individual (NPI-1)
- Name
- Susan C Vesely
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E0004165 | OH | Yes |
Practice location
7350 Palisades PkwyMentor, OH 44060-5302
Phone 440-918-1000 · Fax 440-918-1029
Mailing address
13240 Stoney Springs DrChardon, OH 44024-8957
Phone 440-635-9971
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