Individual
KIM JEDLIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-7100
Mailing address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1200482
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.1200482
LPCC
—
Enumeration date
12/03/2017
Last updated
12/03/2017
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