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General NPI Number Information
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NPI Number | 1053103291
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Entity Type | Individual
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Provider Name | YESAMINE DE LEON-METTEE MA, ATR, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 20525 DETROIT RD STE 8
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City | ROCKY RIVER
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State | OH
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Zip | 44116-2444
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Country | US
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Telephone | 216-777-8835
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Fax |
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Provider Business Mailing Address
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Address Line | 2773 HAMPSHIRE RD APT 6
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44106-2540
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Country | US
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Telephone | 330-204-0365
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | C.2103583
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2103583
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License Number State | OH
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