Individual
MRS. JESSICA ROSE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
14242 RAVENNA RD, NEWBURY, OH 44065-9621
(216) 571-2133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C 0900002
OH
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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