Organization
LAKESHORE EDUCATIONAL AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA F DOVER LPCC-S (CHILD AND FAMILY THERAPIST)
(513) 253-5137
Entity
Organization
Contact information
Practice address
5475 LIBERTY AVE, VERMILION, OH 44089-1333
(440) 963-0402
Mailing address
3212 BACH AVE APT 4, CINCINNATI, OH 45209-1756
(513) 253-5137
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E.0008336-SUPV
OH
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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