Organization
FAMILY COUNSELING & REHABILITATION CENTER OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN SIMMONS LPCC, LICDC (OWNER)
(740) 249-8061
Entity
Organization
Contact information
Practice address
107 LANCASTER ST, MARIETTA, OH 45750-2734
(740) 249-8061
Mailing address
PO BOX 462, BELPRE, OH 45714-0462
(740) 249-8061
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466180
—
OH
Enumeration date
08/20/2021
Last updated
01/06/2022
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