Individual provider · Type 1 NPI

Laura Jean Diffendal, PCC-S

Professional Counselor · Rocky River, OH

NPI number 1679770614 Active

Practice location

20525 Center Ridge Rd Ste 520
Rocky River, OH 44116-3424

Call (216) 978-1924 Map

Mailing address

1297 Saint Charles Ave
Lakewood, OH 44107-2532

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XE4139 (OH)

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About NPI 1679770614

Laura Jean Diffendal, PCC-S's National Provider Identifier is 1679770614, issued on Jul 2, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rocky River, OH. The record was last updated on Sep 17, 2010.