Individual
JADE SYMONE BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
(419) 475-4449
Mailing address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
(419) 973-5531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2103263
OH
101YM0800X
Mental Health Counselor
CT.1902139-TRNE
OH
Other
Enumeration date
06/10/2020
Last updated
03/15/2021
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