Individual provider · Type 1 NPI

Pamela Sue Kucklick, LPCC-S-SUPV

Mental Health Counselor · Cleveland, OH

NPI number 1245637446 Active

Practice location

4115 Bridge Ave
Cleveland, OH 44113-3304

Call (216) 651-5800 Map

Mailing address

1433 W 38th St
Cleveland, OH 44113-2802

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.0006764-SUPV (OH)

Mental Health Counselor: Definition to come...

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About NPI 1245637446

Pamela Sue Kucklick, LPCC-S-SUPV's National Provider Identifier is 1245637446, issued on Dec 3, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on Jan 22, 2026.