Provider Demographics
NPI:1396958286
Name:JARBECK, GEORGE RICHARD II (LPC,LICDC)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:RICHARD
Last Name:JARBECK
Suffix:II
Gender:M
Credentials:LPC,LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44481-1222
Mailing Address - Country:US
Mailing Address - Phone:330-394-9090
Mailing Address - Fax:330-394-8163
Practice Address - Street 1:320 HIGH ST NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44481-1222
Practice Address - Country:US
Practice Address - Phone:330-394-9090
Practice Address - Fax:330-394-8163
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0004836101Y00000X
OH943865101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)