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NPI Code Detail

MEDICARE: SHAINA A DUFFY LPCC

MEDICARE: SHAINA A DUFFY 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
1101Y00000XCounselorC 110491OH
2101YP2500XProfessional CounselorE1700389OH

General Provider Information

NPI Number : 1760895445
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAINA A DUFFY LPCC
Provider Business Mailing 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 : 440-202-6252
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 : 440-202-6252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2014
Last Update Date : 06/25/2019

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Directions to “ SHAINA A DUFFY LPCC” Practice Location

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