Individual
JESSICA RUSSO MISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4030 EASTON STA STE 225, COLUMBUS, OH 43219-7011
(614) 245-5544
Mailing address
400 E WALNUT ST, WESTERVILLE, OH 43081-2354
(614) 397-5052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2406034
OH
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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