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1770094005
JACQUELYN ELIZABETH SHIVELEY
PORTSMOUTH, OH
NPI
1770094005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: OH 1700664)
Enumeration Date
2017-10-13
Last Update Date
2017-10-13
Business Address
JACQUELYN ELIZABETH SHIVELEY LPC CDCA
800 GALLIA ST STE 600
PORTSMOUTH, OH 45662-4097
Phone number: 740-353-4673
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Mailing Address
JACQUELYN ELIZABETH SHIVELEY LPC CDCA
PO BOX 232
FRIENDSHIP, OH 45630-0232
Phone number: 740-981-6419
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