Individual
JENNIFER WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4304 OLD SCIOTO TRL, PORTSMOUTH, OH 45662-6672
(740) 351-9298
(740) 529-0553
Mailing address
4304 OLD SCIOTO TRL, PORTSMOUTH, OH 45662-6672
(740) 351-9298
(740) 529-0553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190490
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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