| Doctor Name: | MS. LORETTA M. GEORGE |
| NPI Number: | 1013123199 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED., P.C.C. |
| License Number: | E.0008113 |
| Business Practice Address: | 7244 Hopkins Rd Mentor, OH - 440606445 |
| Business Phone Number: | 4407730563 |
| Business Fax Number: | |
| Mailing Address: | 7244 Hopkins Rd, MENTOR |
| State: | OH |
| Postal Code: | 440606445 |
| Phone Number: | 4407730563 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 03/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E.0008113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |