person
Thomas J. Supan, LPCC
Professional Counselor in Garfield Heights, Ohio
NPI 1346260072

Thomas J. Supan is a Professional Counselor based in Garfield Heights, OH and is specialized in Professional. Thomas J. Supan practices in Garfield Heights, OH and has the professional credentials of LPCC. The NPI Number for Thomas J. Supan is 1346260072 and holds a License No. E-988 (Ohio).

The current practice location address for Thomas J. Supan is 12300 Mccracken Rd, Garfield Heights, OH and can be reached out via phone at 216-587-8350 and via fax at 216-587-8646.

Location: 12300 Mccracken Rd, Garfield Heights, OH, 44125-2914
person
Provider Profile Details
NPI Number
1346260072
Provider Name
Thomas J. Supan
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
12300 Mccracken Rd, Garfield Heights, OH, 44125-2914
Phone Number
216-587-8350
Fax Number
216-587-8646
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
741000 01 OH BUCKEYE HEALTH PLAN
7745428 01 OH AETNA
353306 01 OH WELLCARE HEALTH PLAN
T00988 01 OH SUMMACARE HEALTH PLAN
000000216098 01 OH ANTHEM BLUE CROSS PIN
000000216098 01 OH UNICARE
institution
Provider Business Practice Location Address Details
Address
12300 Mccracken Rd
City
State
Zip
44125-2914
Phone Number
216-587-8350
Fax Number
216-587-8646
person
Provider Business Mailing Address Details
Address
12300 Mccracken Rd
City
State
Zip
44125-2914
Phone Number
216-587-8350
Fax Number
216-587-8646
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E-988 (Ohio)
Definition
Definition to come...
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