Female

Katherine Koncilja M.A., LPCC

Professional Counselor in Avon Lake, OH(View on Map)

Full Name

Katherine Koncilja M.A., LPCC

NPI Number

1831410869

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/14/2010

Specialties

(Taxonomies)

Code

101YP2500X
101YA0400X

Primary Taxonomy

Yes
No

Licenses

State

Ohio
Ohio

License Number

E1000011
090037

Contact
Information

Purpose

Mailing
Location

Address

215 MILLER RD STE 7
215 MILLER RD STE 7

City

Avon Lake
Avon Lake

State

OH
OH

Postal Code

44012-1013
44012-1013

Country

US
US

Telephone Number

(440) 742-1661
(440) 742-1661

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/19/2019

Provider Address

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