Individual provider · Type 1 NPI

Yaroslav Kondouch

Adult Psychiatric/Mental Health Registered Nurse · Shaker Heights, OH

NPI number 1801312640 Active

Practice location

20600 Chagrin Blvd Ste 620
Shaker Heights, OH 44122-5340

Call (216) 751-4762 Map

Mailing address

3413 Friar Dr
Parma, OH 44134-5520

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809XRN.378568 (OH)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1801312640

Yaroslav Kondouch's National Provider Identifier is 1801312640, issued on Aug 14, 2017. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Shaker Heights, OH. The record was last updated on Aug 14, 2017.