Individual
JOCELYN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7700 STATE ROUTE 42 S, MANSFIELD, OH 44904-9401
(419) 989-5325
Mailing address
7700 STATE ROUTE 42 S, MANSFIELD, OH 44904-9401
(419) 989-5325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165996
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161922
OH
1041C0700X
Clinical Social Worker
Primary
I.2304302
OH
1041C0700X
Clinical Social Worker
S.1601165
OH
1041S0200X
School Social Worker
S.1601165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273964
—
OH
Enumeration date
03/15/2017
Last updated
03/03/2023
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