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Individual
MS. JESSICA RENEE TUBBS
Active
Individual
MS. JESSICA RENEE TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.131626
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161929
OH
104100000X
Social Worker
Primary
I.2203754-SUPV
OH
Other
Enumeration date
03/14/2016
Last updated
08/31/2026
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