Doctor Name: | MS. CAREN NOWAK |
NPI Number: | 1336158419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.I.S.W. LLC |
License Number: | I 7540 |
Business Practice Address: | 7821 Diagonal Rd Streetsboro, OH - 442415970 |
Business Phone Number: | 3308427662 |
Business Fax Number: | 3306780499 |
Mailing Address: | 7821 Diagonal Rd, STREETSBORO |
State: | OH |
Postal Code: | 442415970 |
Phone Number: | 3308427662 |
Fax Number: | 3306780499 |
NPI Enumeration Date: | 08/06/2006 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | I 7540 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |