Jennifer N Berlin, LPC

Individual provider Active NPI Mental Health Counselor · Alliance, OH

NPI 1154036689 · NPPES record last updated Jun 19, 2024

Key facts

NPI
1154036689
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
C.2406189 (OH)
Practice address
1207 W State St Ste M
Alliance, OH 44601-4686
Phone
(330) 821-8407
Fax
(330) 821-8506
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C.2406189OHMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2406189 OH Yes

Addresses

Primary practice location

1207 W State St Ste M
Alliance, OH 44601-4686

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374

Other providers in Alliance, OH

All providers in Alliance, OH · Mental Health Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.