Individual
MEGAN BLONDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCCS
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HTS, OH 44118-4819
(216) 696-5800
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HTS, OH 44118-4819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C.1200213
OH
101YP2500X
Professional Counselor
E.10000331
OH
101YP2500X
Professional Counselor
Primary
E.1600025-SUPV
OH
Other
Enumeration date
01/03/2016
Last updated
05/09/2022
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