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NPI Code Detail

MEDICARE: JEANNETTE SINGLETON LICDC

MEDICARE:   JEANNETTE  SINGLETON  LICDC
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) Counselor141320OH
2104100000XSocial WorkerS.2004706OH

General Provider Information

NPI Number : 1083146955
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNETTE SINGLETON LICDC
Provider Business Mailing Address
First Line : 710 WOODBINE AVE SE
Second Line :
City : WARREN
State : OH
Zip : 44484-4263
Country : US
Telephone Number : 330-824-1801
Fax Number :
Provider Business Practice Location Address
First Line : 4930 ENTERPRISE DR NW
Second Line :
City : WARREN
State : OH
Zip : 44481-8706
Country : US
Telephone Number : 330-369-8022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2017
Last Update Date : 07/29/2025

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Directions to “ JEANNETTE SINGLETON LICDC” Practice Location

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