Individual
JACQUELINE L. CONCODORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
5134 CEDAR VILLAGE DR, 3C, MASON, OH 45040-3717
(513) 229-7900
(513) 229-0202
Mailing address
5134 CEDAR VILLAGE DR, 3C, MASON, OH 45040-3717
(513) 229-7900
(513) 229-0202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E-3666
OH
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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