Individual
JAMELA BILLITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 MOOCK RD STE 101, WILDER, KY 41071-5465
(859) 341-9333
(859) 341-9444
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254694
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30612022
—
KY
05
—
7100671510
—
KY
Enumeration date
06/09/2006
Last updated
07/01/2020
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