Individual
MRS. JEAN I SHOOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED./LPCC-S
Contact information
Practice address
8402 BLACKJACK ROAD EXT, MOUNT VERNON, OH 43050-9193
(740) 397-0442
(740) 392-1814
Mailing address
8402 BLACKJACK ROAD EXT, MOUNT VERNON, OH 43050-9193
(740) 397-0442
(740) 392-1814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E-0000776
OH
Other
Enumeration date
07/18/2006
Last updated
05/25/2011
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