| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHRISTINA VACLAV | 1922728955 | 2024-08-11 |
Christina Vaclav is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922728955. Registration indicates Christina Vaclav is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Christina Vaclav |
| Practice Office Address | 5982 RHODES RD KENT, OH US |
| Practice Office Telephone | 3306731347 |
| Practice Office Fax | 3306783677 |
| Mailing Address | 5982 RHODES RD KENT, OH 442408100 US |
| Business Telephone | 3306731347 |
| Business Fax | 3306783677 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
| 171M00000X | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers | |
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | C.2406227
OH |
| 2871147 | MEDICAID | OH |