Individual
JESSICA ANNE FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
401 TUSCARAWAS ST W STE 501, CANTON, OH 44702-2045
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
M1800112-TRNE
OH
106H00000X
Marriage & Family Therapist
Primary
M1900121
OH
Other
Enumeration date
08/13/2018
Last updated
10/24/2019
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