Individual
JENDI S MCNICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, LPC
Contact information
Practice address
320 HIGH ST NE, WARREN, OH 44481-1222
(330) 797-0070
Mailing address
2020 SANDPIPER TRL SE, WARREN, OH 44484-5716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.167911
OH
101YP2500X
Professional Counselor
Primary
C.1901677
OH
Other
Enumeration date
06/01/2018
Last updated
08/05/2020
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