Individual
MRS. JANJAI MARITONEA STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIFE COACH, QMHS
Contact information
Practice address
2323 LAKE CLUB DR STE 118, COLUMBUS, OH 43232-3198
(614) 266-2004
Mailing address
2323 LAKE CLUB DR STE 118, COLUMBUS, OH 43232-3198
(614) 266-2004
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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