Individual
JENNIFER DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 696-5800
Mailing address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 696-5800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.8442
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488649
ANTHEM BLUE CROSS PIN
OH
Enumeration date
12/08/2006
Last updated
07/08/2007
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