Provider Demographics
NPI:1588011811
Name:FIORELLO, ROSS A JR (LPCC)
Entity Type:Individual
Prefix:MR
First Name:ROSS
Middle Name:A
Last Name:FIORELLO
Suffix:JR
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 1:1898 SPRINGFIELD LAKE BLVD
Mailing Address - Street 2:APT 104
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3078
Mailing Address - Country:US
Mailing Address - Phone:330-265-6588
Mailing Address - Fax:
Practice Address - Street 1:1898 SPRINGFIELD LAKE BLVD
Practice Address - Street 2:APT 104
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-3078
Practice Address - Country:US
Practice Address - Phone:330-265-6588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0900323101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional