Individual
JENNIFER MARIE KILLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
304 COUNTY ROAD 2000, JEROMESVILLE, OH 44840-9758
(419) 289-4825
(419) 289-4826
Mailing address
304 COUNTY ROAD 2000, JEROMESVILLE, OH 44840-9758
(419) 289-4825
(419) 289-4826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0700171-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073952271
—
OH
Enumeration date
03/24/2010
Last updated
10/30/2024
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