Individual
MRS. JENNIFER HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S/LICDC-CS
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 534-1375
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 534-1375
(937) 534-1350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.101199
OH
101YP2500X
Professional Counselor
Primary
E.0800279-SUPV
OH
Other
Enumeration date
06/17/2013
Last updated
09/24/2021
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