Individual provider · Type 1 NPI

Maitlinn Theberge

Counselor · Lakewood, OH

NPI number 1376267641 Active

Practice location

14701 Detroit Ave
Lakewood, OH 44107-4115

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Counselor: 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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About NPI 1376267641

Maitlinn Theberge's National Provider Identifier is 1376267641, issued on Sep 30, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lakewood, OH. The record was last updated on Feb 15, 2026.