MEDICARE: MRS. JENNIFER ANN KNAPP 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	C.1300417-CR	OH
2	101YP2500X	Professional Counselor	C.1300417	OH
3	101YP2500X	Professional Counselor	E.1300417	OH

General Provider Information

NPI Number	:	1750782579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER ANN KNAPP LPCC

Provider Business Mailing Address
First Line	:	7318 INTERNATIONAL DR STE B
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9560
Country	:	US
Telephone Number	:	419-841-7701
Fax Number	:	419-841-1691

Provider Business Practice Location Address
First Line	:	7318 INTERNATIONAL DR STE B
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9560
Country	:	US
Telephone Number	:	419-841-7701
Fax Number	:	419-841-1691

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

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	06/20/2023

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