Most Relevant Information
Provider Data
| NPI Number: | 1003276288 |
| Provider Name: | JAIME ANNE MARIAGE MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 1500402 |
Most Important Dates
| Enumeration Date: | 03/01/2016 |
| Last Updated: | 03/01/2016 |
Provider Practice Location
10427 DETROIT AVE
CLEVELAND
OH
441021645
Practice Location Phone/Fax
| Phone: | 2165216511 |
| Fax: |
Provider Mailing Location
25613 EATON WAY
BAY VILLAGE
OH
441402502
Provider Mailing Phone/Fax
| Phone: | 4406554431 |
| Fax: |