| Lakeshore Educational And Counseling Services, Llc | |
|
5475 Liberty Ave Vermilion OH 44089-1333 | |
| (440) 963-0402 | |
| (440) 963-4018 |
| Full Name | Lakeshore Educational And Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5475 Liberty Ave, Vermilion, Ohio |
| Authorized Official Name and Position | Christianne Gardner (OWNER) |
| Authorized Official Contact | 2163152763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Educational And Counseling Services, Llc 5475 Liberty Ave Vermilion OH 44089-1333 Ph: (440) 963-0402 | Lakeshore Educational And Counseling Services, Llc 5475 Liberty Ave Vermilion OH 44089-1333 Ph: (440) 963-0402 |
| NPI Number | 1548355639 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548355639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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