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JUANEYNE DAWNTENIA REGISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
Mailing address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2404039
OH
225A00000X
Music Therapist
10402
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891042354
OH
Enumeration date
08/14/2012
Last updated
01/26/2024
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