Individual
DR. JILL LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6660 N HIGH ST STE 2D, WORTHINGTON, OH 43085-2537
(800) 668-5278
(888) 974-1571
Mailing address
515 ROUND PEARL CT, DELAWARE, OH 43015-5089
(614) 309-0055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E.0002178-SUPV
OH
101YM0800X
Mental Health Counselor
E.0002178-SUPV
OH
101YP2500X
Professional Counselor
Primary
E.0002178-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
455197604051
—
OH
Enumeration date
07/16/2011
Last updated
10/03/2018
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