Individual
JILL LYNN JIVIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,LPCC
Contact information
Practice address
112 E MAIN ST FL 2, KENT, OH 44240-2525
(330) 414-5652
Mailing address
853 STONEWATER DR, KENT, OH 44240-2052
(330) 414-5652
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0602046
OH
Other
Enumeration date
09/17/2010
Last updated
03/29/2023
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