Individual provider · Type 1 NPI

Kelly Czack, MED

Mental Health Counselor · Lancaster, OH

NPI number 1205473972 Active

Practice location

624 E Main St
Lancaster, OH 43130-3903

Call (740) 678-0042 Map

Mailing address

4 Angela Dr
Athens, OH 45701-3655

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205473972

Kelly Czack, MED's National Provider Identifier is 1205473972, issued on Dec 2, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lancaster, OH. The record was last updated on Dec 2, 2019.