Individual
MR. LOREN SCOTT JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
800 GALLIA ST, SUITE 600, PORTSMOUTH, OH 45662-4035
(740) 353-4673
Mailing address
800 GALLIA ST, SUITE 600, PORTSMOUTH, OH 45662-4035
(740) 353-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0002776- SUPV
OH
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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