Organization
INNOVATIVE BEHAVIORAL HEALTH COUNSELING
Active
Other names
Innovative Behavioral Health Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY DEDRAETTE HART-OGBURN LPCC (THERAPIST)
(216) 507-0168
Entity
Organization
Contact information
Practice address
3344 CEDARBROOK RD, CLEVELAND HEIGHTS, OH 44118-2944
(216) 507-0168
Mailing address
3344 CEDARBROOK RD, CLEVELAND HEIGHTS, OH 44118-2944
(216) 507-0168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247366
—
OH
Enumeration date
09/27/2018
Last updated
09/27/2018
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