Provider Demographics
NPI:1992056923
Name:MARSZAL, KRISTINE RINAS (LPCC)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:RINAS
Last Name:MARSZAL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:KRISTINE
Other - Middle Name:AGNES
Other - Last Name:RINAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:11100 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:216-983-2043
Mailing Address - Fax:216-844-1703
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-983-2043
Practice Address - Fax:216-844-1703
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1200346101YP2500X
OHE.1200346101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health