LILLIE B COCKRELL-JAKES

CLEVELAND, OH
NPI1174230262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.182157)
Enumeration Date2022-10-31
Last Update Date2022-10-31
Business Address
LILLIE B COCKRELL-JAKES
1804 E 55TH ST
CLEVELAND, OH 44103-3602
Phone number: 216-762-1237
Mailing Address
LILLIE B COCKRELL-JAKES
13428 DARLEY AVE
CLEVELAND, OH 44110-2169
Phone number: 216-414-3762