Individual
JESSICA MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
819 STATE ROUTE 664 N STE A, LOGAN, OH 43138-8540
(740) 385-0202
(740) 385-0505
Mailing address
PO BOX 228, LOGAN, OH 43138-0228
(740) 385-7564
(740) 385-7564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1200188
OH
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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