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NPI Code Detail

MEDICARE: MARK L YODER LPCC

MEDICARE: MARK L YODER LPCC
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 CounselorE3103OH

General Provider Information

NPI Number : 1386680106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK L YODER LPCC
Provider Business Mailing Address
First Line : 6929 W 130TH ST
Second Line : SUITE 500
City : PARMA HEIGHTS
State : OH
Zip : 44130-7878
Country : US
Telephone Number : 440-842-6867
Fax Number : 440-842-8914
Provider Business Practice Location Address
First Line : 6929 W 130TH ST
Second Line : SUITE 500
City : PARMA HEIGHTS
State : OH
Zip : 44130-7878
Country : US
Telephone Number : 440-842-6867
Fax Number : 440-842-8914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 09/25/2008

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