Individual
JACQUELIN M DIMENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1251 NILLES RD, CLOCK TOWER PLACE, SUITE 5, FAIRFIELD, OH 45014-7206
(513) 939-0300
(513) 939-0310
Mailing address
1251 NILLES RD, SUITE 5, FAIRFIELD, OH 45014-7206
(513) 939-0300
(513) 939-0310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1200084
OH
Other
Enumeration date
02/05/2013
Last updated
12/07/2017
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