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NPI Code Detail

MEDICARE: JILLIAN NEWLAND PC

MEDICARE: JILLIAN NEWLAND PC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorC.0900544OH
2101YP2500XProfessional CounselorC.0900544OH
3171M00000XCase Manager/Care Coordinator
4101YM0800XMental Health CounselorC.0900544.PROVOH

General Provider Information

NPI Number : 1023318847
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN NEWLAND PC
Provider Business Mailing Address
First Line : 1735 S HAWKINS AVE STE A
Second Line :
City : AKRON
State : OH
Zip : 44320-3902
Country : US
Telephone Number : 330-867-5400
Fax Number :
Provider Business Practice Location Address
First Line : 1735 S HAWKINS AVE STE A
Second Line :
City : AKRON
State : OH
Zip : 44320-3902
Country : US
Telephone Number : 330-867-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2010
Last Update Date : 07/02/2019

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