Organization
EBB & FLOW COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL N WAGGONER LPCC-S (OWNER)
(216) 543-5232
Entity
Organization
Contact information
Practice address
17306 MADISON AVE, LAKEWOOD, OH 44107-3533
(216) 543-5232
Mailing address
17306 MADISON AVE, LAKEWOOD, OH 44107-3533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
01/23/2024
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