Individual
DR. CAROL MARIE JAXSON-JAGER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
531 BELMONTE PARK N, SUITE A, DAYTON, OH 45405-4749
(937) 938-5642
Mailing address
531 BELMONTE PARK N, SUITE A PO BOX 1113, DAYTON, OH 45405-4749
(937) 938-5642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0900539.TEMP
OH
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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