Provider Demographics
NPI:1922314574
Name:ZAVASKY, ERIN ELIZABETH (PCC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:ZAVASKY
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:ELIZABETH
Other - Last Name:CECELIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2914 TREESIDE ST NW
Mailing Address - Street 2:APT. F
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-1953
Mailing Address - Country:US
Mailing Address - Phone:440-364-8543
Mailing Address - Fax:
Practice Address - Street 1:1410 W STATE ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-3615
Practice Address - Country:US
Practice Address - Phone:330-823-6932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0900205101YM0800X
OHE.0900205101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health