Individual
JESSICA L DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2405858
OH
101YP2500X
Professional Counselor
2405858
OH
405300000X
Prevention Professional
RA.163860
OH
Other
Enumeration date
11/28/2023
Last updated
05/23/2025
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