Individual
KATHERINE JAKUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
4760 RED BANK RD STE 241, CINCINNATI, OH 45227-1548
(513) 818-3208
Mailing address
1482 PEMBRIDGE DR APT 22, CINCINNATI, OH 45255-3135
(609) 319-6202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1700334
OH
101YP2500X
Professional Counselor
Primary
E.1901338
OH
Other
Enumeration date
08/17/2017
Last updated
07/05/2023
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