Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Greene

Individual provider Counselor · NPI 1619626694

Jacqueline Greene is a Counselor in Chardon, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
3

Practice location Address checks out

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone: (440) 285-3568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.189225 (OH)
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1619626694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2022
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address12557 Ravenwood Dr, Chardon, OH 44024-9009

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