Individual
CAITLIN MARIE URDIALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
3401 ENTERPRISE PKWY STE 250, BEACHWOOD, OH 44122-7343
(216) 765-0500
(216) 765-0521
Mailing address
3401 ENTERPRISE PKWY STE 250, BEACHWOOD, OH 44122-7343
(216) 765-0500
(216) 765-0521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1901115
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2017
Last updated
06/11/2019
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