Individual provider · Type 1 NPI

Lisa Lynn Polch

Counselor · Ashtabula, OH

NPI number 1962915975 Active

Practice location

4726 Main Ave
Ashtabula, OH 44004-6929

Fax (440) 918-3839

Mailing address

38882 Mentor Ave
Willoughby, OH 44094-7875

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1962915975

Lisa Lynn Polch's National Provider Identifier is 1962915975, issued on Nov 13, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ashtabula, OH. The record was last updated on Nov 13, 2017.