Individual
JESSE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
(740) 592-1191
Mailing address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
(740) 592-1191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1100519
OH
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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