Individual provider · Type 1 NPI

Susan Ann Revak, PCC

Mental Health Counselor · Kent, OH

NPI number 1841480696 Active

Practice location

155 N Water St
Kent, OH 44240-2418

Mailing address

623 Center Ave
Cuyahoga Falls, OH 44221-2805

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.0008416. (OH)

Mental Health Counselor: Definition to come...

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About NPI 1841480696

Susan Ann Revak, PCC's National Provider Identifier is 1841480696, issued on Jul 27, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kent, OH. The record was last updated on Jul 27, 2007.