Provider Demographics
NPI:1902308091
Name:YEUNG JEFFERY, MEI T (LPCC, LCDCIII,)
Entity Type:Individual
Prefix:MRS
First Name:MEI
Middle Name:T
Last Name:YEUNG JEFFERY
Suffix:
Gender:F
Credentials:LPCC, LCDCIII,
Other - Prefix:MRS
Other - First Name:MAY
Other - Middle Name:T
Other - Last Name:YEUNG JEFFERY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC, LCDCIII
Mailing Address - Street 1:2858 AARON DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-7970
Mailing Address - Country:US
Mailing Address - Phone:216-316-3306
Mailing Address - Fax:
Practice Address - Street 1:3518 W 25TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1951
Practice Address - Country:US
Practice Address - Phone:216-865-1843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLCDCIII.162234101YA0400X
OHCDCA.164281101YA0400X
OHC.1700606-TRNE101YM0800X
OHE.2203089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)