Individual
JENNIFER ANN WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
226 KING ST, RAVENNA, OH 44266-2814
(330) 235-4134
Mailing address
226 KING ST, RAVENNA, OH 44266-2814
(330) 235-4134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0900194
OH
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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