Provider Demographics
NPI:1790805711
Name:STROH, JOAN LAWSON (LPCC)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:LAWSON
Last Name:STROH
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-9003
Mailing Address - Country:US
Mailing Address - Phone:740-797-3548
Mailing Address - Fax:740-797-3548
Practice Address - Street 1:6900 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-9003
Practice Address - Country:US
Practice Address - Phone:740-797-3548
Practice Address - Fax:740-797-3548
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2005101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000489006Medicare UPIN