Provider Demographics
NPI:1720016421
Name:CLINICAL COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:CLINICAL COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:440-331-5570
Mailing Address - Street 1:20325 CENTER RIDGE RD
Mailing Address - Street 2:628
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3572
Mailing Address - Country:US
Mailing Address - Phone:440-331-5570
Mailing Address - Fax:440-331-3221
Practice Address - Street 1:20325 CENTER RIDGE RD
Practice Address - Street 2:628
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3572
Practice Address - Country:US
Practice Address - Phone:440-331-5570
Practice Address - Fax:440-331-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3325103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty