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Organization
OUTLAND BEHAVIORAL HEALTH
Active
Organization
OUTLAND BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MARIE OUTLAND MSED, LPCC-S (LICENSED COUNSELOR SUPERVISOR)
(216) 407-7108
Entity
Organization
Contact information
Practice address
5934 HODGMAN DR, PARMA HEIGHTS, OH 44130-2153
(216) 407-7108
(216) 359-3646
Mailing address
5934 HODGMAN DR, PARMA HEIGHTS, OH 44130-2153
(216) 407-7108
(216) 359-3646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184117673
—
OH
Enumeration date
06/15/2022
Last updated
03/06/2024
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