Community Counseling Center of Ashtabula County

NPI #1720029622 in Ashtabula, Ohio

Provider Information

NPI Number: 1720029622
Entity Type: Organization
Organization Name: Community Counseling Center of Ashtabula County
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jun 10, 2006
Last Updated: Mar 4, 2015

Practice Location

Address: 2801 C CT
City: Ashtabula
State: Ohio
ZIP Code: 44004-4577
Phone: (440) 998-4210

Authorized Official

Name: MR. PAUL SAMUEL BOLINO, M.S,ED.,LPCC-S, CDCA
Title: CEO
Phone: (440) 998-4210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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