Individual provider · Type 1 NPI

Phoenix Mussalow, MA, LPC, NCC

Mental Health Counselor · Stow, OH

NPI number 1245765874 Active · reactivated Aug 5, 2020

Practice location

2562 Graham Rd
Stow, OH 44224-3504

Call (276) 200-8769 Map

Mailing address

6693 N Chestnut St Ste 235
Ravenna, OH 44266-3900

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.1600825 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1245765874

Phoenix Mussalow, MA, LPC, NCC's National Provider Identifier is 1245765874, issued on Apr 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stow, OH. The record was last updated on Aug 6, 2020.