Individual
JESSICA C TUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
425 N FINDLAY ST, DAYTON, OH 45404-2203
(937) 949-1860
Mailing address
425 N FINDLAY ST, DAYTON, OH 45404-2203
(937) 949-1860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1300093
OH
101YP2500X
Professional Counselor
C.1300093
OH
101YP2500X
Professional Counselor
Primary
E1800552
OH
Other
Enumeration date
07/26/2017
Last updated
10/08/2019
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