Individual
JESSECCA LOUISE WALCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2903 S 5TH ST, IRONTON, OH 45638-2866
(740) 912-9949
Mailing address
1025 KENT ST APT 3A, PORTSMOUTH, OH 45662-2554
(937) 386-4473
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
02/03/2025
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