Individual
JESSICA RENA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
7843 LAUREL AVE, MADEIRA, OH 45243-2608
(513) 561-5600
Mailing address
5838 HIGHVIEW DR, MILFORD, OH 45150-2038
(513) 305-1437
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0500044
OH
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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