Healthcare Provider Details

I. General information

NPI: 1871753111
Provider Name (Legal Business Name): JENNIFER RENEE CHERNEY L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER PACIOREK

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 S COURT ST STE 5
MEDINA OH
44256-2259
US

IV. Provider business mailing address

24178 NOREEN DR
NORTH OLMSTED OH
44070-1044
US

V. Phone/Fax

Practice location:
  • Phone: 330-723-7977
  • Fax: 330-725-5177
Mailing address:
  • Phone: 440-716-0693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC0008330
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: