MR. Ian Michael Dewalt, LPC

NPI #1689284093 in Chardon, Ohio

Provider Information

NPI Number
1689284093
Entity Type
Individual
Name
MR. Ian Michael Dewalt, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Aug 1, 2020
Last Updated
Aug 1, 2020

Practice Location

Address
12557 RAVENWOOD DR
State
Ohio
ZIP Code
44024-9009
Phone
(440) 285-3568

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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