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Organization
WARREN COUNTY ESC
Active
Organization
WARREN COUNTY ESC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WOODY LPCC-S (LEAD MENTAL HEALTH THERAPIST)
(513) 695-2900
Entity
Organization
Contact information
Practice address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2900
Mailing address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/05/2020
Last updated
07/30/2024
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