Organization
OLIVE BRANCH COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LARA DOUGALL PHD (PROFESSIONAL CLINICAL COUNSELOR)
(330) 805-4587
Entity
Organization
Contact information
Practice address
444 N MAIN ST, SUITE 408, AKRON, OH 44310-3110
(330) 805-4587
(330) 805-4587
Mailing address
PO BOX 4034, COPLEY, OH 44321-0034
(330) 805-4587
(330) 805-4587
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E 0007143
OH
Other
Enumeration date
01/22/2014
Last updated
03/06/2014
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