Individual
JACKIE B PAVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 BROOKPARK RD # 241C, PARMA, OH 44129-6824
(216) 548-9406
Mailing address
6264 BIG CREEK PKWY APT 6C, PARMA HEIGHTS, OH 44130-2207
(216) 548-9406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1902365
OH
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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