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General NPI Number Information
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NPI Number | 1467300038
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Entity Type | Individual
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Provider Name | JAMES JARRELL JR. LSW
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Gender | Male
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 29125 CHAGRIN BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-4609
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Country | US
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Telephone | 216-292-3999
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Fax | 216-916-9147
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Provider Business Mailing Address
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Address Line | 3674 WOODRIDGE RD
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City | CLEVELAND HTS
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State | OH
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Zip | 44121-1842
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Country | US
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Telephone | 216-292-3999
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Fax | 216-916-9147
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | S.0027901
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License Number State | OH
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