Provider Demographics
NPI:1740476944
Name:JAVOREK, MICHELE (PCC)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:JAVOREK
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 CLEVELAND RD W
Mailing Address - Street 2:UNIT M.
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-1505
Mailing Address - Country:US
Mailing Address - Phone:216-346-3251
Mailing Address - Fax:
Practice Address - Street 1:504 CLEVELAND RD W
Practice Address - Street 2:UNIT M.
Practice Address - City:HURON
Practice Address - State:OH
Practice Address - Zip Code:44839-1505
Practice Address - Country:US
Practice Address - Phone:216-346-3251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0005382101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor