Provider Demographics
NPI:1639538432
Name:COMKO, DAVID JOHN (LPCC-S, LICDC-CS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOHN
Last Name:COMKO
Suffix:
Gender:M
Credentials:LPCC-S, LICDC-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 933132
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0001
Mailing Address - Country:US
Mailing Address - Phone:800-288-2818
Mailing Address - Fax:330-682-1166
Practice Address - Street 1:390 ROBINSON AVE STE E
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3659
Practice Address - Country:US
Practice Address - Phone:888-975-9188
Practice Address - Fax:330-564-9989
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH954381101YA0400X
OHE.0008393101YM0800X
OHE.0008393-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health