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Organization
MIND & BODY COUNSELING SOLUTIONS
Active
Organization
MIND & BODY COUNSELING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB M TELEGO LPCC-S (PSYCHOTHERAPIST/CEO)
(330) 397-8001
Entity
Organization
Contact information
Practice address
5815 MARKET ST STE 5A, BOARDMAN, OH 44512-2915
(330) 781-5078
Mailing address
5815 MARKET ST STE 5A, BOARDMAN, OH 44512-2915
(330) 781-5078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215964
—
OH
05
—
0344066
—
OH
Enumeration date
03/03/2019
Last updated
06/04/2024
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