KELSEY JANINE VASICEK

MEDINA, OH
NPI1477027290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  162490)
Enumeration Date2019-01-15
Last Update Date2023-05-11
Business Address
KELSEY JANINE VASICEK BS, LCDC III, GAMBp
555 INDEPENDENCE DR
MEDINA, OH 44256-2460
Phone number: 330-635-0969
Mailing Address
KELSEY JANINE VASICEK BS, LCDC III, GAMBp
246 NORTHLAND DR STE 200A
MEDINA, OH 44256-3440
Phone number: