Organization
JEEVA COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JITHIN VIJAYAN MA, LPCC (LICENSED PROFESSIONAL COUNSELOR)
(937) 443-7019
Entity
Organization
Contact information
Practice address
204 LOOKOUT DR, OAKWOOD, OH 45419-3812
(937) 443-7019
(937) 353-9386
Mailing address
204 LOOKOUT DR, OAKWOOD, OH 45419-3812
(937) 443-7019
(937) 353-9386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068.0134892TELE
VERMONT OFFICE OF PROFESSIONAL REGULATION
VT
01
—
E.2404286
OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD
OH
01
—
P2303011
ARKANSAS BOARD OF EXAMINERS IN COUNSELING AND MARRIAGE AND FAMILY THERAPY
AR
01
—
PC010866
PENNSYLVANIA STATE BOARD OF SOCIAL WORKERS, MFTS, AND PROFESSIONAL COUNSELORS
PA
Enumeration date
07/24/2023
Last updated
06/30/2024
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