MEDICARE: MRS. JENNIFER SPINNEWEBER DOEHLA LPCC

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
1	101YP2500X	Professional Counselor	E1300084	OH
2	101YP2500X	Professional Counselor	5184	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1518993088	OTHER	OH	NATIONAL PROVIDER IDENTIFICATION NUMBER
2	1412C	OTHER	NC	BLUE CROSS BLUE SHIELDS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518993088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER SPINNEWEBER DOEHLA LPCC

Provider Business Mailing Address
First Line	:	28 PARK AVE W
Second Line	:	SUITE # 706
City	:	MANSFIELD
State	:	OH
Zip	:	44902-1648
Country	:	US
Telephone Number	:	828-772-4725
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 PARK AVE W
Second Line	:	SUITE # 706
City	:	MANSFIELD
State	:	OH
Zip	:	44902-1648
Country	:	US
Telephone Number	:	828-772-4725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	12/28/2016

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