Individual provider · Type 1 NPI
Kelsey Janine Vasicek, BS, LCDC III, GAMBP
Addiction (Substance Use Disorder) Counselor · Medina, OH
NPI number
1477027290
Active
Practice location
555 Independence Dr
Medina, OH 44256-2460
Mailing address
246 Northland Dr Ste 200A
Medina, OH 44256-3440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 162490 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1477027290
Kelsey Janine Vasicek, BS, LCDC III, GAMBP's National Provider Identifier is 1477027290, issued on Jan 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medina, OH. The record was last updated on May 11, 2023.