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NPI Code Detail

MEDICARE: MS. YOLANDA JOCELYN HARRIS LPC

MEDICARE:  MS. YOLANDA JOCELYN HARRIS  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
1104100000XSocial WorkerS0024157OH
2101YP2500XProfessional CounselorC.2204096OH

General Provider Information

NPI Number : 1700919156
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YOLANDA JOCELYN HARRIS LPC
Provider Business Mailing Address
First Line : 19617 LOMOND BLVD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5127
Country : US
Telephone Number : 216-778-0908
Fax Number :
Provider Business Practice Location Address
First Line : 4517 RENAISSANCE PKWY
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5701
Country : US
Telephone Number : 216-360-9343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 05/05/2022

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Directions to “ MS. YOLANDA JOCELYN HARRIS LPC” Practice Location

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