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NPI Code Detail

MEDICARE: MISS JESSICA HOWARD MS, PCC

MEDICARE: MISS JESSICA HOWARD MS, PCC
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
1101Y00000XCounselorE.0602197OH

General Provider Information

NPI Number : 1861849275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JESSICA HOWARD MS, PCC
Provider Business Mailing Address
First Line : 7850 SHADOW CREEK DR
Second Line : APT 223
City : HAMILTON
State : OH
Zip : 45011-5325
Country : US
Telephone Number : 937-875-0252
Fax Number :
Provider Business Practice Location Address
First Line : 2929 HIGHLAND AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2463
Country : US
Telephone Number : 937-875-0252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2016
Last Update Date : 05/17/2016

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