Individual
MRS. JENNIFER HAYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Contact information
Practice address
130 NORTHWOODS BLVD, COLUMBUS, OH 43235-7473
(614) 888-8413
(614) 846-1849
Mailing address
130 NORTHWOODS BLVD, COLUMBUS, OH 43235-7473
(614) 888-8413
(614) 846-1849
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
976166
OH
104100000X
Social Worker
I-0008316
OH
Other
Enumeration date
10/05/2006
Last updated
07/19/2016
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