Individual
JESSICA DIANE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
6601 CENTERVILLE BUSINESS PKWY STE 310, CENTERVILLE, OH 45459-2697
(937) 637-6735
Mailing address
1681 E DOROTHY LN APT 22, KETTERING, OH 45429-3835
(937) 499-0069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
176041
OH
1041C0700X
Clinical Social Worker
Primary
—
OH
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/31/2021
Last updated
08/26/2025
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