| Warren County Esc | |
|
1879 Deerfield Rd Lebanon OH 45036-8602 | |
| (513) 695-2900 | |
| Not Available |
| Full Name | Warren County Esc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1879 Deerfield Rd, Lebanon, Ohio |
| Authorized Official Name and Position | Jessica Woody (LEAD MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 9376819164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren County Esc 1879 Deerfield Rd Lebanon OH 45036-8602 Ph: () - | Warren County Esc 1879 Deerfield Rd Lebanon OH 45036-8602 Ph: (513) 695-2900 |
| NPI Number | 1083215131 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 11/05/2020 |
| Certification Date | 11/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083215131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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