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NPI Code Detail

MEDICARE: JENNA STRIEBEL

MEDICARE: JENNA STRIEBEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.1902289OH

General Provider Information

NPI Number : 1346953098
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA STRIEBEL
Provider Business Mailing Address
First Line : 10319 YELLOW LOCUST LN
Second Line :
City : DAYTON
State : OH
Zip : 45458-9469
Country : US
Telephone Number : 937-409-2100
Fax Number :
Provider Business Practice Location Address
First Line : 175 S MAIN ST
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-2372
Country : US
Telephone Number : 937-434-0540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2022
Last Update Date : 12/27/2022

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Directions to “ JENNA STRIEBEL ” Practice Location

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