person
Lillie B Cockrell-jakes
Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio
NPI 1174230262

Lillie B Cockrell-jakes is an Addiction (Substance Use Disorder) Counselor based in Cleveland, OH and is specialized in Addiction (Substance Use Disorder). Lillie B Cockrell-jakes practices in Cleveland, OH. The NPI Number for Lillie B Cockrell-jakes is 1174230262 and holds a License No. CDCA.182157 (Ohio).

The current practice location address for Lillie B Cockrell-jakes is 1804 E 55Th St, Cleveland, OH and can be reached out via phone at 216-762-1237.

Location: 1804 E 55Th St, Cleveland, OH, 44110-2169
person
Provider Profile Details
NPI Number
1174230262
Provider Name
Lillie B Cockrell-jakes
Credential
Provider Entity Type
Individual
Gender
Female
Address
1804 E 55Th St, Cleveland, OH, 44110-2169
Phone Number
216-762-1237
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1804 E 55Th St
City
State
Zip
44103-3602
Phone Number
216-762-1237
Fax Number
person
Provider Business Mailing Address Details
Address
1804 E 55Th St
City
State
Zip
44103-3602
Phone Number
216-762-1237
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.182157 (Ohio)
Definition
Definition to come...
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