Individual provider · Type 1 NPI

Esda N. Velasco, QMHS MA CMS MA

Supports Brokerage Agency · Cleveland, OH

NPI number 1770076606 Active

Practice location

3500 Carnegie Ave
Cleveland, OH 44115-2641

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Supports Brokerage Agency Primary 251X00000XNone listed

Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …

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About NPI 1770076606

Esda N. Velasco, QMHS MA CMS MA's National Provider Identifier is 1770076606, issued on Jun 14, 2018. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Cleveland, OH. The record was last updated on Jun 14, 2018.