MEDICARE: MRS. JENNIFER N RAUZAN L.P.C.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E2001679	OH
2	101YM0800X	Mental Health Counselor	E.2001679	OH

General Provider Information

NPI Number	:	1295157048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER N RAUZAN L.P.C.C.

Provider Business Mailing Address
First Line	:	34950 CHARDON ROAD
Second Line	:	SUITE 210
City	:	WILLOUGHBY HILLS
State	:	OH
Zip	:	44094
Country	:	US
Telephone Number	:	440-571-4499
Fax Number	:

Provider Business Practice Location Address
First Line	:	34950 CHARDON RD STE 210
Second Line	:
City	:	WILLOUGHBY HILLS
State	:	OH
Zip	:	44094-9162
Country	:	US
Telephone Number	:	440-571-4499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2014
Last Update Date	:	12/03/2024

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