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NPI Code Detail

MEDICARE: MS. JESSICA L. LARUBBIO LPCC-S, LICDC-CS

MEDICARE:  MS. JESSICA L. LARUBBIO  LPCC-S, LICDC-CS
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
1101YA0400XAddiction (Substance Use Disorder) CounselorE.06000051OH
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1811149800
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA L. LARUBBIO LPCC-S, LICDC-CS
Provider Business Mailing Address
First Line : 16761 SAINT CLAIR AVE STE 2
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-9400
Country : US
Telephone Number : 330-932-1823
Fax Number : 330-932-1832
Provider Business Practice Location Address
First Line : 16761 SAINT CLAIR AVE STE 2
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-9400
Country : US
Telephone Number : 330-932-1823
Fax Number : 330-932-1832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 10/10/2024

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Directions to “ MS. JESSICA L. LARUBBIO LPCC-S, LICDC-CS” Practice Location

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