person
Robert Ailes Lax
Addiction (Substance Use Disorder) Counselor in Ravenna, Ohio
NPI 1285286443

Robert Ailes Lax is an Addiction (Substance Use Disorder) Counselor based in Ravenna, OH and is specialized in Addiction (Substance Use Disorder). Robert Ailes Lax practices in Ravenna, OH. The NPI Number for Robert Ailes Lax is 1285286443 and holds a License No. 021208 (Ohio).

The current practice location address for Robert Ailes Lax is 246 S. Chestnut St., Ravenna, OH and can be reached out via phone at 330-298-9391 and via fax at 330-298-9392.

Location: 246 S. Chestnut St., Ravenna, OH, 44266
person
Provider Profile Details
NPI Number
1285286443
Provider Name
Robert Ailes Lax
Credential
Provider Entity Type
Individual
Gender
Male
Address
246 S. Chestnut St., Ravenna, OH, 44266
Phone Number
330-298-9391
Fax Number
330-298-9392
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
246 S. Chestnut St.
City
State
Zip
44266
Phone Number
330-298-9391
Fax Number
330-298-9392
person
Provider Business Mailing Address Details
Address
246 S. Chestnut St.
City
State
Zip
44266
Phone Number
330-298-9391
Fax Number
330-298-9392
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
021208 (Ohio)
Definition
Definition to come...
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