Individual
JILL R SOKOLNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC-S
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 913-1912
(937) 913-1913
Mailing address
PO BOX 4503, 1111 E. 5TH ST., DAYTON, OH 45401-4503
(937) 231-6581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0008166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E.0008166
STATE OF OHIO SUPERVISING PROFESSIONAL CLINICAL COUNSELOR LICENSE
OH
Enumeration date
02/20/2007
Last updated
02/06/2017
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