MEDICARE: JENNY NGUYEN 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
1	101YM0800X	Mental Health Counselor	E.2404837	OH

General Provider Information

NPI Number	:	1922673235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY NGUYEN LPCC

Provider Business Mailing Address
First Line	:	600 SUPERIOR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2614
Country	:	US
Telephone Number	:	646-941-7645
Fax Number	:	929-596-7897

Provider Business Practice Location Address
First Line	:	600 SUPERIOR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2614
Country	:	US
Telephone Number	:	646-941-7645
Fax Number	:	929-596-7897

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

Provider Enumeration Date	:	05/20/2021
Last Update Date	:	03/04/2026

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