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NPI Code Detail

MEDICARE: MS. CHRISTINA M. SALEM LPCC-S

MEDICARE: MS. CHRISTINA M. SALEM LPCC-S
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
1101YP2500XProfessional CounselorE0003871OH

General Provider Information

NPI Number : 1174670780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA M. SALEM LPCC-S
Provider Business Mailing Address
First Line : 3017 FARNHAM RD
Second Line :
City : RICHFIELD
State : OH
Zip : 44286-9687
Country : US
Telephone Number : 216-496-9467
Fax Number :
Provider Business Practice Location Address
First Line : 3929 ROCKY RIVER DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-4153
Country : US
Telephone Number : 440-332-4245
Fax Number : 216-252-9055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 06/25/2024

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