Provider Demographics
NPI:1952723306
Name:GAU, CLAIRE (LPCC,LICDC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:GAU
Suffix:
Gender:F
Credentials:LPCC,LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 FORT ISLAND DR.
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3551
Mailing Address - Country:US
Mailing Address - Phone:740-258-3763
Mailing Address - Fax:
Practice Address - Street 1:13622 PINEWOOD TRL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-8106
Practice Address - Country:US
Practice Address - Phone:740-258-3763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-19
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1200621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional