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NPI Code Detail

MEDICARE: DIANE MARIE BERICK LPCC

MEDICARE: DIANE MARIE BERICK 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
1101YP2500XProfessional CounselorE 0000697OH

General Provider Information

NPI Number : 1811212061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE MARIE BERICK LPCC
Provider Business Mailing Address
First Line : 2101 FRONT ST STE 106
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-3251
Country : US
Telephone Number : 330-836-8090
Fax Number : 330-794-5912
Provider Business Practice Location Address
First Line : 230 S COURT ST
Second Line : SUITE 5
City : MEDINA
State : OH
Zip : 44256-2275
Country : US
Telephone Number : 330-723-7977
Fax Number : 330-725-5177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2010
Last Update Date : 09/25/2024

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Directions to “ DIANE MARIE BERICK LPCC” Practice Location

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