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NPI Code Detail

MEDICARE: STEPHEN WJ DUNLEAVEY LPCC-S

MEDICARE: STEPHEN WJ DUNLEAVEY LPCC-S
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
1101YP1600XPastoral Counselor
2101YP2500XProfessional CounselorE0008395OH
3101YM0800XMental Health CounselorE0008395OH

General Provider Information

NPI Number : 1568516870
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN WJ DUNLEAVEY LPCC-S
Provider Business Mailing Address
First Line : 2680 W MARKET ST
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-4215
Country : US
Telephone Number : 234-867-5001
Fax Number :
Provider Business Practice Location Address
First Line : 2680 W MARKET ST
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-4215
Country : US
Telephone Number : 234-867-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 04/01/2025

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