| Doctor Name: | MS. SUSAN RAKOW |
| NPI Number: | 1194140038 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PC |
| License Number: | C1200136 |
| Business Practice Address: | 1824 Wilton Rd Cleveland Heights, OH - 441181629 |
| Business Phone Number: | 2169323084 |
| Business Fax Number: | |
| Mailing Address: | 26777 Lorain Road, Humanistic Counseling Center Suite 416 NORTH OOLMSTED |
| State: | OH |
| Postal Code: | 44070 |
| Phone Number: | 2168392273 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2014 |
| NPI Last Update Date: | 03/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C1200136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |