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Organization
WILD LILAC COUNSELING, LLC
Active
Organization
WILD LILAC COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GIBBS (OWNER)
(440) 785-5990
Entity
Organization
Contact information
Practice address
24700 CENTER RIDGE RD STE G50, WESTLAKE, OH 44145-5671
(440) 785-5990
Mailing address
8550 GREENBRIAR DR, OLMSTED TWP, OH 44138-1869
(440) 785-5990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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