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NPI Code Detail

MEDICARE: MRS. LINDA MILLIAN HOLBROOK LPC

MEDICARE: MRS. LINDA MILLIAN HOLBROOK LPC
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
1101Y00000XCounselorC.1901704OH

General Provider Information

NPI Number : 1548815574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA MILLIAN HOLBROOK LPC
Provider Business Mailing Address
First Line : 3483 WESTON DR
Second Line :
City : AVON
State : OH
Zip : 44011-3100
Country : US
Telephone Number : 440-281-3295
Fax Number :
Provider Business Practice Location Address
First Line : 33480 LIBERTY PKWY
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-2670
Country : US
Telephone Number : 440-732-5252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2019
Last Update Date : 08/27/2019

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