MR. GARY ALLEN JAFFE MA, LPC
NPI 1629188545
Counselor - Mental Health in Lorain, OH
Active since August 30, 2006
About Mr. Gary Allen Jaffe Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GARY ALLEN JAFFE MA, LPC (NPI 1629188545) is an individual mental health provider in Lorain, Ohio, licensed in Ohio (C3632) and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1629188545
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GARY ALLEN JAFFECredential: MA, LPC
Location Address6140 S BROADWAYLorain, OH 44053-3821
Mailing Address78 Carr RdHinckley, OH 44233-9715 · (330) 278-2116
Phone(440) 233-7232
Fax(440) 233-5552
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629188545 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C3632
6140 S BROADWAY, Lorain, OH 44053
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629188545, enumerated as an "individual" on August 30, 2006.
The provider is located at 6140 S BROADWAY LORAIN, OH 44053 and the phone number is (440) 233-7232.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.