Doctor Name: | JILLIAN NEWLAND |
NPI Number: | 1023318847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PC |
License Number: | C.0900544.PROV |
Business Practice Address: | 70 N Miller Rd Fairlawn, OH - 443333702 |
Business Phone Number: | 3308670066 |
Business Fax Number: | 3308670056 |
Mailing Address: | 70 N Miller Rd, FAIRLAWN |
State: | OH |
Postal Code: | 443333702 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/26/2010 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C.0900544.PROV |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |