Individual
JACYNTHA LANAE DUTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CT
Contact information
Practice address
915 S RIVERSIDE DR NE, MCCONNELSVILLE, OH 43756-9102
(740) 962-5204
(740) 962-3688
Mailing address
2845 BELL ST, ZANESVILLE, OH 43701-1720
(740) 454-9766
(740) 588-6452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2002460-TRNE
OH
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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