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Individual
MR. DAVID ELLIS JENNINGS JR.
Active
Individual
MR. DAVID ELLIS JENNINGS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
882422-CS
OH
101YM0800X
Mental Health Counselor
Primary
E. 0016706
OH
104100000X
Social Worker
S.0016706
OH
Other
Enumeration date
06/14/2007
Last updated
03/11/2016
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