Individual
MS. JESSICA ROSE SEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Contact information
Practice address
3443 MEDINA RD, SUITE 101B, MEDINA, OH 44256-5360
(330) 722-2916
(330) 722-3204
Mailing address
3443 MEDINA RD, SUITE 101B, MEDINA, OH 44256-5360
(330) 722-2916
(330) 722-3204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
141097
OH
101YP2500X
Professional Counselor
Primary
E1000041
OH
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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