Provider Demographics
NPI:1245483692
Name:KLEIN, NANCY ANN (LPCC)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:KLEIN
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 1:25111 COUNTRY CLUB BLVD.
Mailing Address - Street 2:STE. 290
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-5330
Mailing Address - Country:US
Mailing Address - Phone:216-831-6611
Mailing Address - Fax:440-614-2526
Practice Address - Street 1:25111 COUNTRY CLUB BLVD.
Practice Address - Street 2:STE 290
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5330
Practice Address - Country:US
Practice Address - Phone:216-831-6611
Practice Address - Fax:440-614-2526
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0003976101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional