Unknown Individual – Professional Counselor, NPI 1356642441
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
11820 EDGEWATER DR APT 217
LAKEWOOD, OH 441071767
Phone: (330) 361-9125
Fax: (216) 631-4595
Type: Mailing
4115 BRIDGE AVE
CLEVELAND, OH 441133304
Phone: (216) 631-5800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44107)
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