JACQUESE LYNNETTE SOUTHERN NPI 1215541362

NPI Information

Jacquese Lynnette Southern is a counselor in Cleveland, OH. The provider is 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. Jacquese Lynnette Southern NPI is 1215541362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12620 LARCHMERE BLVD
CLEVELAND, OH
ZIP 44120-110
Phone: (216) 543-0478

The enumeration date for this NPI number is 9/6/2020 and was last updated on 9/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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