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Individual

JASON CARL SOPKOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC LICDC

Contact information

Practice address
7055 ENGLE RD # 6-601, MIDDLEBURG HEIGHTS, OH 44130-8491
(216) 232-9538
Mailing address
7801 DAY DR UNIT 29054, PARMA, OH 44129-5656
(216) 323-9538
(216) 270-7347

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2506972
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162769
OH
101YM0800X
Mental Health Counselor
C.2506972
OH
101YP2500X
Professional Counselor
Primary
C.2506972
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154182
OH
Enumeration date
02/20/2018
Last updated
01/05/2026
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