Individual
MS. JENNIFER LYNN POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Contact information
Practice address
45875 BELL SCHOOL RD STE B, EAST LIVERPOOL, OH 43920-8728
(330) 397-6007
(234) 254-5655
Mailing address
45 N CANFIELD NILES RD, AUSTINTOWN, OH 44515-2343
(330) 330-8777
(330) 330-8555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162101
OH
1041C0700X
Clinical Social Worker
Primary
I.2405091
OH
Other
Enumeration date
06/26/2018
Last updated
07/31/2024
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