Individual provider · Type 1 NPI

Jake Protivnak, PC

Counselor · Ravenna, OH

NPI number 1689889156 Active

Practice location

3920 Lovers Ln
Ravenna, OH 44266-4200

Fax (330) 678-3677

Mailing address

5982 Rhodes Rd
Kent, OH 44240-4128

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XC7727 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1689889156

Jake Protivnak, PC's National Provider Identifier is 1689889156, issued on May 10, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ravenna, OH. The record was last updated on Jul 8, 2007.