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NPI Code Detail

MEDICARE: JENNIFER DEAN LPCC

MEDICARE:   JENNIFER  DEAN  LPCC
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
1101YM0800XMental Health CounselorE-0006862OH

General Provider Information

NPI Number : 1700962578
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DEAN LPCC
Provider Business Mailing Address
First Line : 347 MIDWAY BLVD
Second Line : SUITE 306
City : ELYRIA
State : OH
Zip : 44035-9006
Country : US
Telephone Number : 440-324-1300
Fax Number : 440-324-0070
Provider Business Practice Location Address
First Line : 223 MILLER RD
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-1004
Country : US
Telephone Number : 440-930-2002
Fax Number : 440-930-2085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/01/2016

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Directions to “ JENNIFER DEAN LPCC” Practice Location

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