Individual
JENNIFER HETRICK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMFT
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 260-8900
(440) 260-8576
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 260-8327
(440) 234-8319
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F.1700010
OH
106H00000X
Marriage & Family Therapist
M. 1300006
OH
Other
Enumeration date
05/15/2013
Last updated
04/10/2017
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