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Individual

JASMINE ALESIA MEREDITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDC III

Contact information

Practice address
1612 LANCASTER AVE, REYNOLDSBURG, OH 43068-2639
(614) 327-0535
Mailing address
7481 OLIVER WINCHESTER DR, CANAL WINCHESTER, OH 43110-8493
(614) 327-0535

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162224
OH
106H00000X
Marriage & Family Therapist
M.2300328-TRNE
OH
106H00000X
Marriage & Family Therapist
Primary
M.2400344
OH
171M00000X
Case Manager/Care Coordinator
OH

Other

Enumeration date
09/24/2019
Last updated
11/08/2024
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