Individual
MISS JESSICA LYNN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC-S
Contact information
Practice address
8518 MENTOR AVE STE H, MENTOR, OH 44060-5838
(440) 589-6500
(440) 589-6555
Mailing address
7217 HAWTHORNE DR, MENTOR, OH 44060-4632
(440) 589-6500
(440) 589-6555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1100260
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864093-1
—
OH
Enumeration date
04/02/2013
Last updated
09/08/2023
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