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Grace Connolly, LSWCDCA
Counselor in Willoughby, Ohio
NPI 1477264620

Grace Connolly is a Counselor based in Mentor, OH. Grace Connolly practices in Willoughby, OH and has the professional credentials of LSWCDCA. The NPI Number for Grace Connolly is 1477264620 and holds a License No. (Ohio).

The current practice location address for Grace Connolly is 38882 Mentor Ave, Willoughby, OH and can be reached out via phone at 440-578-8200.

Location: 38882 Mentor Ave, Willoughby, OH, 44060-4881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477264620
Provider Name
Grace Connolly
Credential
LSWCDCA
Provider Entity Type
Individual
Gender
Female
Address
38882 Mentor Ave, Willoughby, OH, 44060-4881
Phone Number
440-578-8200
Fax Number
Provider Enumeration Date
12/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
38882 Mentor Ave
City
Willoughby
State
Ohio
Zip
44094-7875
Phone Number
440-578-8200
Fax Number
person
Provider Business Mailing Address Details
Address
38882 Mentor Ave
City
Willoughby
State
Ohio
Zip
44094-7875
Phone Number
440-578-8200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
S.1802996 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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