Individual
KERRY MAUREEN JERIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, CDCA
Contact information
Practice address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(330) 644-4095
Mailing address
3445 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-3028
(216) 926-0163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170157
OH
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
E.2202816
OH
Other
Enumeration date
04/04/2019
Last updated
04/04/2022
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