Individual
MRS. JAMIE L AVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
164 W WATER ST, OAK HARBOR, OH 43449-1332
(303) 931-7406
Mailing address
521 E 2ND ST, PORT CLINTON, OH 43452-1122
(303) 931-7406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2001783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294147
—
OH
Enumeration date
03/19/2018
Last updated
07/24/2020
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