Individual
JASMINE JANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S, LICDC
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6427
(614) 875-7843
Mailing address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6427
(614) 875-7843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.141143
OH
1041C0700X
Clinical Social Worker
Primary
I.0700185-SUPV
OH
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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