Individual
MRS. MARY ANN B. JEPSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
9633 E STATE ROUTE 37, ST. JOHN NEUMANN CATHOLIC CATHOLIC CHURCH, SUNBURY, OH 43074-9672
(614) 309-2270
(614) 436-6884
Mailing address
PO BOX 1586, COVENANT INTEGRATIVE COUNSELING SERVICES, POWELL, OH 43065-1586
(614) 309-2270
(614) 436-6884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E 0700010
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12218499
CAQH
OH
Enumeration date
11/04/2008
Last updated
09/23/2013
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