Healthcare Provider Details

I. General information

NPI: 1124532312
Provider Name (Legal Business Name): JENNIFER DECKER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8809B CINCINNATI DAYTON RD
WEST CHESTER OH
45069-3134
US

IV. Provider business mailing address

1429 MOLER AVE APT B
KETTERING OH
45420-2045
US

V. Phone/Fax

Practice location:
  • Phone: 513-630-8205
  • Fax:
Mailing address:
  • Phone: 937-361-9715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE2607435
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: