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Individual

MRS. JORDAN PREBYS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
30 NORTH WARDER STREET, SUITE 165, SPRINGFIELD, OH 45504
(937) 717-8643
Mailing address
5959 E CASSTOWN CLARK RD, CASSTOWN, OH 45312-9746
(937) 717-8643

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
2005028614
MO
101YP2500X
Professional Counselor
66365
TX
101YP2500X
Professional Counselor
Primary
E. 1200737
OH

Other

Enumeration date
03/13/2007
Last updated
10/06/2018
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