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NPI Code Detail

MEDICARE: MS. RACHEL JAMILAH ROBINSON LICDC

MEDICARE: MS. RACHEL JAMILAH ROBINSON LICDC
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) Counselor162466OH

General Provider Information

NPI Number : 1982120077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL JAMILAH ROBINSON LICDC
Provider Business Mailing Address
First Line : 3836 WALLINGFORD RD
Second Line :
City : SOUTH EUCLID
State : OH
Zip : 44121-1952
Country : US
Telephone Number : 216-313-1947
Fax Number :
Provider Business Practice Location Address
First Line : 1227 ANSEL RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44108-3323
Country : US
Telephone Number : 216-421-0662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2017
Last Update Date : 01/17/2024

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