Healthcare Provider Details

I. General information

NPI: 1487153698
Provider Name (Legal Business Name): JESSICA NICOLE STEWART LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2018
Last Update Date: 09/14/2025
Certification Date: 09/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 MAPLE AVE # 1005
ZANESVILLE OH
43701-1758
US

IV. Provider business mailing address

134 FLEMING DR
NEWARK OH
43055-8764
US

V. Phone/Fax

Practice location:
  • Phone: 614-706-1351
  • Fax:
Mailing address:
  • Phone: 740-644-7153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2507140
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: