Individual
JESSICA ANN KYNION HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
312 3RD ST, ELYRIA, OH 44035-5618
(440) 323-5707
Mailing address
2248 GARDEN DR, AVON, OH 44011-2609
(740) 438-1762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1100550-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
E.1100550-S
OH
Other
Enumeration date
07/09/2012
Last updated
03/04/2021
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