Individual
DR. JA'NITTA MARBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., PCC-S
Contact information
Practice address
5589 DUNHAM RD, MAPLE HEIGHTS, OH 44137-3657
(216) 371-3420
(216) 371-3430
Mailing address
5589 DUNHAM RD, MAPLE HEIGHTS, OH 44137-3657
(216) 371-3420
(216) 371-3430
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0500062-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329113
BCBS
—
01
—
1000694
QUALCHOICE
—
05
—
2585582
—
OH
01
—
2598130
UNITED HEALTHCARE
—
01
—
724645000
MAGELLAN
—
01
—
7931741
AETNA
—
Enumeration date
07/19/2006
Last updated
02/03/2023
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