Individual
JESSICA M WALLBROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1786 MAHONING ROAD, DEERFIELD, OH 44411
(330) 501-7658
Mailing address
1786 MAHONING ROAD, DEERFIELD, OH 44411
(330) 501-7658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0008473
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238485
—
OH
Enumeration date
09/05/2013
Last updated
11/06/2023
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