Provider Demographics
NPI:1659240059
Name:COTTRILL, JULES MARIE (LSW)
Entity type:Individual
Prefix:
First Name:JULES
Middle Name:MARIE
Last Name:COTTRILL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 N GRANT ST
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-3428
Mailing Address - Country:US
Mailing Address - Phone:419-951-2020
Mailing Address - Fax:
Practice Address - Street 1:470 E MILLTOWN RD STE A
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-1250
Practice Address - Country:US
Practice Address - Phone:419-951-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2208396101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health