| Dba Carolyn Rodecker | |
|
13800 Bagley Rd Middleburg Heights OH 44130-6760 | |
| (216) 978-5183 | |
| Not Available |
| Full Name | Dba Carolyn Rodecker |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13800 Bagley Rd, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Carolyn Sue Rodecker (LICENSED CLINICAL COUNSELOR) |
| Authorized Official Contact | 4408426867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Carolyn Rodecker 13800 Bagley Rd Middleburg Heights OH 44130-6760 Ph: (216) 978-5183 | Dba Carolyn Rodecker 13800 Bagley Rd Middleburg Heights OH 44130-6760 Ph: (216) 978-5183 |
| NPI Number | 1356718142 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356718142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E110489 (Ohio) | Primary |
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