Provider Demographics
NPI:1316435738
Name:NESS, CONSTANCE LYNN
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:LYNN
Last Name:NESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 BOWHALL RD
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-5239
Mailing Address - Country:US
Mailing Address - Phone:440-537-9930
Mailing Address - Fax:440-350-5669
Practice Address - Street 1:104 E ERIE ST
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3910
Practice Address - Country:US
Practice Address - Phone:440-350-5669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)