Healthcare Provider Details

I. General information

NPI: 1437678513
Provider Name (Legal Business Name): DONNA JACOMET LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10921 REED HARTMAN HWY STE 133
BLUE ASH OH
45242-2851
US

IV. Provider business mailing address

10921 REED HARTMAN HWY STE 133
BLUE ASH OH
45242-2851
US

V. Phone/Fax

Practice location:
  • Phone: 513-984-9838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2607129
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: