Individual provider · Type 1 NPI

Stephanie Vangorder

Counselor · Ashtabula, OH

NPI number 1780390195 Active

Practice location

4726 Main Ave
Ashtabula, OH 44004-6929

Mailing address

7232 Justin Way
Mentor, OH 44060-4881

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XC.2204388-TRNE (OH)
Counselor Primary 101Y00000XC.2204388-TRNE (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 1780390195

Stephanie Vangorder's National Provider Identifier is 1780390195, issued on Jan 30, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ashtabula, OH. The record was last updated on May 11, 2023.