Provider Demographics
NPI:1790034346
Name:SIMIC, DRAGANA (LPCC)
Entity Type:Individual
Prefix:
First Name:DRAGANA
Middle Name:
Last Name:SIMIC
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:DRAGANA
Other - Middle Name:
Other - Last Name:JANJETOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:434 EASTLAND RD
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-1217
Mailing Address - Country:US
Mailing Address - Phone:440-260-8327
Mailing Address - Fax:440-260-8305
Practice Address - Street 1:3500 CARNEGIE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2641
Practice Address - Country:US
Practice Address - Phone:440-260-8900
Practice Address - Fax:440-260-8576
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1000222101YP2500X
OHE1000222101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional