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NPI Code Detail

MEDICARE: PRESCILLA C DORSEY LPC

MEDICARE: PRESCILLA C DORSEY 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
1390200000XStudent in an Organized Health Care Education/Training Program
2101YP2500XProfessional CounselorC.2608072OH

General Provider Information

NPI Number : 1578266946
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRESCILLA C DORSEY LPC
Provider Business Mailing Address
First Line : 4522 FULTON DR NW
Second Line :
City : CANTON
State : OH
Zip : 44718-2332
Country : US
Telephone Number : 330-915-2907
Fax Number : 330-915-2958
Provider Business Practice Location Address
First Line : 5611 HUDSON DR STE 400
Second Line :
City : HUDSON
State : OH
Zip : 44236-4452
Country : US
Telephone Number : 330-915-2907
Fax Number : 330-915-2958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2023
Last Update Date : 05/19/2026

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Directions to “ PRESCILLA C DORSEY LPC” Practice Location

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