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

Jacquese Lynnette Southern

Individual provider Counselor · NPI 1215541362

Jacquese Lynnette Southern is a Counselor in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12620 Larchmere Blvd
Cleveland, OH 44120-1110
Phone: (216) 543-0478
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C.2002631 (OH)

Record details

NPI number1215541362
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2020
Last updated in NPPESSeptember 6, 2020
Certification dateSeptember 6, 2020

Other providers in Cleveland