Organization
JILL L. JIVIDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JIVIDEN (OWNER)
(330) 414-5652
Entity
Organization
Contact information
Practice address
112 E MAIN ST FL 2, KENT, OH 44240-2525
(330) 414-5652
Mailing address
853 STONEWATER DR, KENT, OH 44240-2052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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