Provider Demographics
NPI:1093233975
Name:PARASSON, GINA MARIE (LPCC)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:PARASSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:PARASSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:875 MENTOR RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1272
Mailing Address - Country:US
Mailing Address - Phone:330-819-1700
Mailing Address - Fax:
Practice Address - Street 1:2321 SECOND ST
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-2520
Practice Address - Country:US
Practice Address - Phone:330-926-0760
Practice Address - Fax:330-926-1944
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1700228101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2181679Medicaid