Individual
JACKOLYN MARIE VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC
Contact information
Practice address
611 HIGH ST NW, CARROLLTON, OH 44615-1117
(330) 627-3954
(330) 627-3984
Mailing address
611 HIGH ST NW, CARROLLTON, OH 44615-1117
(330) 627-3954
(330) 627-3984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2404325-SUPV
OH
Other
Enumeration date
05/13/2020
Last updated
11/20/2025
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