Individual
JENNIFER NICOLE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1100 HOSPITAL DR, BATAVIA, OH 45103-1920
(513) 834-7063
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161498
OH
101YP2500X
Professional Counselor
Primary
E.1700465.SUPV
OH
Other
Enumeration date
05/28/2015
Last updated
11/21/2019
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