Autumn Staszak, LPC
Counselor, Mental Health in Chardon, OH. Individual provider (NPI-1).
NPI number1932339819
StatusActive
Last updated in NPPESFeb 6, 2023
Details
- NPI
- 1932339819
- Entity type
- Individual (NPI-1)
- Name
- Autumn Staszak
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2009
- Certification date
- Feb 3, 2023
- Last updated
- Feb 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | E0500753 | OH | Yes |
Practice location
695 South StChardon, OH 44024-1474
Phone 440-286-1553
Mailing address
125 Hunt Club DrApt 1c
Copley, OH 44321-2909
Phone 330-396-0021
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All 66 Mental Health Counselor providers in Chardon · All 1,278 providers in Chardon
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