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Provider Information for 1790186187


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JOSEPH RIFICI LPCC


Sex: Male

NPI: 1790186187
Last Updated: 2015-03-11
Certification Date:

Details

NameValue
NPI1790186187
Enumeration Date2014-09-04
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6802 W SNOWVILLE RD
SUITE B
BRECKSVILLE, OH 44141-3295
United States

Phone: 216-831-6611 | Fax:
 
Primary Practice Address 25101 CHAGRIN BLVD
SUITE 100
BEACHWOOD, OH 44122-5643
United States

Phone: 216-831-6611 | Fax:216-456-8128
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalOHE.0900203