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Individual

JESSICA TRIPLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 CARLTON DAVIDSON LANE, COAL GROVE, OH 45638
(740) 533-0648
Mailing address
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638-2924
(740) 354-7702
(740) 353-1662

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1000343
OH
101YP2500X
Professional Counselor
Primary
E.1000343-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08258
OH
Enumeration date
02/01/2012
Last updated
03/02/2021
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