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NPI Code Detail

MEDICARE: JACQUELINE HEIDI HESS LPCC

MEDICARE:   JACQUELINE HEIDI HESS  LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorE.0006187OH
2101YM0800XMental Health CounselorE.0006187OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C.0006187OTHEROHLICENSE#

General Provider Information

NPI Number : 1346713609
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE HEIDI HESS LPCC
Provider Business Mailing Address
First Line : 5695 MORLICH SQ
Second Line :
City : DUBLIN
State : OH
Zip : 43017-9684
Country : US
Telephone Number : 614-783-3122
Fax Number :
Provider Business Practice Location Address
First Line : 12 S TERRACE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3281
Country : US
Telephone Number : 614-783-3122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2019
Last Update Date : 10/25/2023

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Directions to “ JACQUELINE HEIDI HESS LPCC” Practice Location

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