Individual provider · Type 1 NPI

Lillie B. Cockrell-Jakes

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1174230262 Active

Practice location

1804 E 55th St
Cleveland, OH 44103-3602

Call (216) 762-1237 Map

Mailing address

13428 Darley Ave
Cleveland, OH 44110-2169

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.182157 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174230262

Lillie B. Cockrell-Jakes's National Provider Identifier is 1174230262, issued on Oct 31, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Oct 31, 2022.