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

Jahnae Alexis Matlock, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568905420

Jahnae Alexis Matlock, LICDC is an Addiction (Substance Use Disorder) Counselor in Mentor, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016
Specialties on file
2

Practice location Address checks out

9083 Mentor Ave
Mentor, OH 44060-6462
Phone: (440) 255-0678
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 LICDC.161066 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 161066 (OH)

Record details

NPI number1568905420
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICDC
Sole proprietorYes
NPI enumeratedNovember 28, 2016
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

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