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Phoenix Mussalow, MA,LPC,NCC
Mental Health Counselor in Stow, Ohio
NPI 1245765874

Phoenix Mussalow is a Mental Health Counselor based in Ravenna, OH and is specialized in Mental Health. Phoenix Mussalow practices in Stow, OH and has the professional credentials of MA,LPC,NCC. The NPI Number for Phoenix Mussalow is 1245765874 and holds a License No. C.1600825 (Ohio).

The current practice location address for Phoenix Mussalow is 2562 Graham Rd, Stow, OH and can be reached out via phone at 276-200-8769.

Location: 2562 Graham Rd, Stow, OH, 44266-3900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245765874
Provider Name
Phoenix Mussalow
Credential
MA,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
2562 Graham Rd, Stow, OH, 44266-3900
Phone Number
276-200-8769
Fax Number
Provider Enumeration Date
04/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2562 Graham Rd
City
Stow
State
Ohio
Zip
44224-3504
Phone Number
276-200-8769
Fax Number
person
Provider Business Mailing Address Details
Address
2562 Graham Rd
City
Stow
State
Ohio
Zip
44224-3504
Phone Number
276-200-8769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.1600825 (Ohio)
Definition
Definition to come...
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