Individual
JESSICA HAAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4950 NORTHCUTT PL, DAYTON, OH 45414-3840
(937) 496-2000
Mailing address
600 WAYNE AVE, DAYTON, OH 45410-1199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2507698
OH
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/05/2024
Last updated
01/28/2026
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