Individual
JESSICA M PRIODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
1518 S 3RD ST, IRONTON, OH 45638-2140
(740) 532-7855
Mailing address
1518 S 3RD ST, IRONTON, OH 45638-2140
(740) 532-7855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C0700379
OH
101YP2500X
Professional Counselor
Primary
E.0700379-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09425
—
OH
Enumeration date
03/10/2009
Last updated
09/06/2024
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