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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C.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.