Individual
JESSICA SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
(513) 354-5331
Mailing address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
(513) 354-3551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1200221
OH
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
E.1800905
OH
Other
Enumeration date
01/13/2009
Last updated
10/23/2018
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