Individual
JENNIFER GIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LICDC-CS
Contact information
Practice address
4212 STATE ROUTE 306, #100, WILLOUGHBY, OH 44094-9258
(216) 831-6611
(216) 456-8128
Mailing address
25101 CHAGRIN BLVD, #100, BEACHWOOD, OH 44122-5643
(216) 831-6611
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
P.07917
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
P.07917
OH
Other
Enumeration date
12/12/2014
Last updated
02/06/2020
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