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NPI Code Detail

MEDICARE: JOCELYN FRITZ BIALK PCC

MEDICARE: JOCELYN FRITZ BIALK PCC
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 Counselor180.006025IL
2101YP2500XProfessional CounselorE 0007756OH

General Provider Information

NPI Number : 1851458988
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN FRITZ BIALK PCC
Provider Business Mailing Address
First Line : 8015 KENNESAW DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6619
Country : US
Telephone Number : 224-623-1647
Fax Number :
Provider Business Practice Location Address
First Line : 1490 UNIVERSITY BLVD
Second Line :
City : HAMILTON
State : OH
Zip : 45011-3305
Country : US
Telephone Number : 513-881-7180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2007
Last Update Date : 02/10/2009

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Directions to “ JOCELYN FRITZ BIALK PCC” Practice Location

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