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Individual

JITHIN VIJAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPCC

Contact information

Practice address
204 LOOKOUT DR, OAKWOOD, OH 45419-3812
(937) 443-7019
(937) 353-9386
Mailing address
204 LOOKOUT DR, OAKWOOD, OH 45419-3812
(937) 443-7019
(937) 353-9386

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0134892TELE
VT
101YP2500X
Professional Counselor
Primary
E.2404286
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068.0134892TELE
VERMONT OFFICE OF PROFESSIONAL REGULATION
VT
01
E.2404286
OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD
OH
01
P2303011
ARKANSAS BOARD OF EXAMINERS IN COUNSELING AND MARRIAGE AND FAMILY THERAPY
AR
01
PC010866
PENNSYLVANIA STATE BOARD OF SOCIAL WORKERS, MFTS AND PROFESSIONAL COUNSELORS
PA
Enumeration date
12/18/2018
Last updated
06/30/2024
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