Individual
RESEAN JETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4014 N HAMPTON DR, POWELL, OH 43065-8431
(614) 470-4466
(614) 626-5301
Mailing address
4014 N HAMPTON DR, POWELL, OH 43065-8431
(614) 470-4466
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
P.08556
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
06/03/2015
Last updated
10/26/2023
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