Individual provider · Type 1 NPI

Kevin Staller, LPC

Mental Health Counselor · Cleveland, OH

NPI number 1659826154 Active

Practice location

8411 Broadway Ave
Cleveland, OH 44105-3932

Fax (216) 441-3637

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.1500314 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1659826154

Kevin Staller, LPC's National Provider Identifier is 1659826154, issued on Aug 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on Aug 25, 2016.