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NPI Code Detail

MEDICARE: NICOLE COUTRIS LPCC

MEDICARE:   NICOLE  COUTRIS  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
1101YM0800XMental Health CounselorE.2505606OH

General Provider Information

NPI Number : 1396392817
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE COUTRIS LPCC
Provider Business Mailing Address
First Line : 24500 CENTER RIDGE RD STE 395
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-5631
Country : US
Telephone Number : 440-455-9125
Fax Number : 440-455-9965
Provider Business Practice Location Address
First Line : 24500 CENTER RIDGE RD STE 395
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-5631
Country : US
Telephone Number : 440-455-9125
Fax Number : 440-455-9965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2019
Last Update Date : 01/22/2026

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Directions to “ NICOLE COUTRIS LPCC” Practice Location

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