Provider Demographics
NPI:1669452777
Name:SUNDQUIST, JOLEEN V (MA, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:JOLEEN
Middle Name:V
Last Name:SUNDQUIST
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 COLLINS BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-6954
Mailing Address - Country:US
Mailing Address - Phone:440-992-7878
Mailing Address - Fax:440-992-7887
Practice Address - Street 1:4510 COLLINS BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6954
Practice Address - Country:US
Practice Address - Phone:440-992-7878
Practice Address - Fax:440-992-7887
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE4265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional