Healthcare Provider Details
I. General information
NPI: 1801183645
Provider Name (Legal Business Name): JENNIFER KESSLER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/30/2011
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
261 W JOHNSTOWN RD STE 100
GAHANNA OH
43230-2887
US
IV. Provider business mailing address
261 W JOHNSTOWN RD STE 100
GAHANNA OH
43230-2887
US
V. Phone/Fax
- Phone: 614-595-9090
- Fax: 614-454-4985
- Phone: 614-595-9090
- Fax: 614-454-4985
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | C0900677 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: