Provider Demographics
NPI:1992022263
Name:SITKO, JAMIE A (MED,LPCC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:A
Last Name:SITKO
Suffix:
Gender:F
Credentials:MED,LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12211 STATE ROUTE 700
Mailing Address - Street 2:P.O. BOX 464
Mailing Address - City:HIRAM
Mailing Address - State:OH
Mailing Address - Zip Code:44234-9710
Mailing Address - Country:US
Mailing Address - Phone:330-687-5483
Mailing Address - Fax:
Practice Address - Street 1:12211 STATE ROUTE 700
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:OH
Practice Address - Zip Code:44234-9710
Practice Address - Country:US
Practice Address - Phone:330-687-5483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1300013101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional