Individual
JACQUELYN CASALINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24500 CENTER RIDGE RD STE 395, WESTLAKE, OH 44145-5631
(440) 455-9125
Mailing address
24500 CENTER RIDGE RD STE 395, WESTLAKE, OH 44145-5631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1801244
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340738
—
OH
Enumeration date
08/23/2018
Last updated
08/12/2020
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