person
Jacquese Lynnette Southern
Counselor in Cleveland, Ohio
NPI 1215541362

Jacquese Lynnette Southern is a Counselor based in Cleveland, OH. Jacquese Lynnette Southern practices in Cleveland, OH. The NPI Number for Jacquese Lynnette Southern is 1215541362 and holds a License No. C.2002631 (Ohio).

The current practice location address for Jacquese Lynnette Southern is 12620 Larchmere Blvd, Cleveland, OH and can be reached out via phone at 216-543-0478.

Location: 12620 Larchmere Blvd, Cleveland, OH, 44119-2002
person
Provider Profile Details
NPI Number
1215541362
Provider Name
Jacquese Lynnette Southern
Credential
Provider Entity Type
Individual
Gender
Female
Address
12620 Larchmere Blvd, Cleveland, OH, 44119-2002
Phone Number
216-543-0478
Fax Number
Provider Enumeration Date
09/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12620 Larchmere Blvd
City
State
Zip
44120-1110
Phone Number
216-543-0478
Fax Number
person
Provider Business Mailing Address Details
Address
12620 Larchmere Blvd
City
State
Zip
44120-1110
Phone Number
216-543-0478
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
C.2002631 (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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