=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043939010
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FATOUMATA JARRAI BAJO LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2022
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7243 EASTLAWN DR
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45237-3515
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-740-1001
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1332 GREY STABLE LN
-----------------------------------------------------
City | HIGHLAND HEIGHTS
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41076-1769
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-739-4463
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | C.2507612
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | C.2406090-TRNE
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------