Provider Demographics
NPI:1518175090
Name:VOLLMAR, ED (LPCC)
Entity Type:Individual
Prefix:
First Name:ED
Middle Name:
Last Name:VOLLMAR
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 SPIELBUSCH AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43624-1360
Mailing Address - Country:US
Mailing Address - Phone:419-244-6711
Mailing Address - Fax:419-244-4860
Practice Address - Street 1:323 N WOOD ST
Practice Address - Street 2:
Practice Address - City:FOSTORIA
Practice Address - State:OH
Practice Address - Zip Code:44830-2247
Practice Address - Country:US
Practice Address - Phone:419-435-1775
Practice Address - Fax:419-663-5070
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health