Organization
LAKESHORE SUPPORT
Active
Other names
Lakeshore Educational and Counseling Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTIANNE GARDNER M.A (OWNER)
(216) 315-2763
Entity
Organization
Contact information
Practice address
5475 LIBERTY AVE, VERMILION, OH 44089-1333
(440) 963-0402
(440) 963-4018
Mailing address
5475 LIBERTY AVE, VERMILION, OH 44089-1333
(440) 963-0402
(440) 963-4018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
01/06/2018
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