Individual
JESSICA CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6654 BRENTRIDGE LN, LAMBERTVILLE, MI 48144-9374
(419) 410-5803
Mailing address
6654 BRENTRIDGE LN, LAMBERTVILLE, MI 48144-9374
(419) 410-5803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2303275
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/02/2018
Last updated
05/18/2023
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