Individual
MS. JENNA VAN HOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MS, LPCC
Contact information
Practice address
2030 HERITAGE POINT DR, KETTERING, OH 45409-2007
(937) 267-6295
Mailing address
2030 HERITAGE POINT DR, KETTERING, OH 45409-2007
(937) 267-6295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E.2302599
OH
101YM0800X
Mental Health Counselor
Primary
E.2303599
OH
101YP2500X
Professional Counselor
E.2303599
OH
171M00000X
Case Manager/Care Coordinator
E.2303599
OH
Other
Enumeration date
12/16/2018
Last updated
12/05/2024
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