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Individual

MR. DAVID ELLIS JENNINGS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPCC, LICDC

Contact information

Practice address
8595 BEECHMONT AVENUE, SUITE 303, CINCINNATI, OH 45255
(513) 240-8558
(513) 741-3589
Mailing address
8595 BEECHMONT AVENUE, SUITE 303, CINCINNATI, OH 45255
(513) 240-8558
(513) 741-3589

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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