Provider Demographics
NPI:1093476129
Name:RATCHEN, ZACHARY (LPC)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:RATCHEN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 ALPHA DR APT 115
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-7658
Mailing Address - Country:US
Mailing Address - Phone:567-207-6719
Mailing Address - Fax:
Practice Address - Street 1:135 E ERIE ST STE 304
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-3599
Practice Address - Country:US
Practice Address - Phone:330-256-0337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1200287101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional