Individual
JENNIFER L HIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC,LPC
Contact information
Practice address
700 PARK AVE, IRONTON, OH 45638
(740) 532-1613
(740) 532-1715
Mailing address
PO BOX 108, IRONTON, OH 45638-0108
(740) 532-1613
(740) 532-1715
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2103033-TRNE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161658
OH
101YP2500X
Professional Counselor
C.2103652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273901
—
OH
Enumeration date
10/10/2017
Last updated
03/23/2022
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