MEDICARE: MRS. HESTER NERINE RATHBONE 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
1	101YP2500X	Professional Counselor	0800128	OH

General Provider Information

NPI Number	:	1790084184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HESTER NERINE RATHBONE LPCC-S

Provider Business Mailing Address
First Line	:	526 SUPERIOR AVE E STE 1400
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1402
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 SUPERIOR AVE E STE 1400
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1402
Country	:	US
Telephone Number	:	440-429-3291
Fax Number	:

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

Provider Enumeration Date	:	03/24/2011
Last Update Date	:	12/08/2014

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