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Individual

JAIDA SERENITYRAIN FACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5386 COX SMITH RD, MASON, OH 45040-6803
(513) 972-5120
Mailing address
4682 KIRBY AVE, CINCINNATI, OH 45223-1544

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2507243-TRNE
OH

Other

Enumeration date
11/01/2025
Last updated
12/22/2025
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