Individual
JACQUELYN M CHICLOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 W MARKET ST, WARREN, OH 44481-1017
(330) 394-8831
Mailing address
7544 MARKET ST # A317, BOARDMAN, OH 44512-6028
(330) 301-2146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2103075
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.1902159-TRNE
OH
Other
Enumeration date
01/13/2020
Last updated
02/03/2021
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