Individual
JEFFREY LANE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
(937) 767-1025
Mailing address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
(937) 767-1025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0500644
OH
101YP2500X
Professional Counselor
C.0500644
OH
Other
Enumeration date
01/18/2018
Last updated
10/20/2023
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