MARIE MARIE JEFFERSON
NPI 1801552302
Student in an Organized Health Care Education/Training Program in Maple Heights, OH

Active since November 10, 2021
17825 LIBBY RD, MAPLE HEIGHTS, OH 44137(216) 369-8550 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marie Marie Jefferson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE MARIE JEFFERSON (NPI 1801552302) is an individual student in an organized health care education/training program in Maple Heights, Ohio and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1801552302
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIE MARIE JEFFERSON
Location Address17825 LIBBY RDMaple Heights, OH 44137-1509
Mailing Address1400 E 55th StCleveland, OH 44103-1304 · (216) 391-6672
Sole ProprietorNo
Enumeration DateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
NPI 1801552302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

17825 LIBBY RD, Maple Heights, OH 44137

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
17825 LIBBY RD
MAPLE HEIGHTS, OH 44137
Counselor (Addiction (Substance Use Disorder))
17825 LIBBY RD
MAPLE HEIGHTS, OH 44137
Behavior Technician
17825 LIBBY RD
MAPLE HEIGHTS, OH 44137
Behavior Analyst
17825 LIBBY RD
MAPLE HEIGHTS, OH 44137
Counselor (Addiction (Substance Use Disorder))
17825 LIBBY RD
MAPLE HEIGHTS, OH 44137

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801552302, enumerated as an "individual" on November 10, 2021.

The provider is located at 17825 LIBBY RD MAPLE HEIGHTS, OH 44137 and the phone number is (216) 369-8550.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.