Doctor Name: | MRS. PATRICIA CAROL EMBRESCIA |
NPI Number: | 1023165958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW, LICDC |
License Number: | 954463 |
Business Practice Address: | 10 Center St Chagrin Falls, OH - 440223168 |
Business Phone Number: | 4406691941 |
Business Fax Number: | 8663024574 |
Mailing Address: | 10 Center St, CHAGRIN FALLS |
State: | OH |
Postal Code: | 440223168 |
Phone Number: | 4406691941 |
Fax Number: | 8663024574 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 954463 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |