JACQUELYN LAVENDER

COLUMBUS, OH
NPI1902357973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCII.161310)
Enumeration Date2016-10-14
Last Update Date2018-12-10
Business Address
JACQUELYN LAVENDER LCDC II
825 DENNISON AVE
COLUMBUS, OH 43215-1315
Phone number: 614-291-4691
Mailing Address
JACQUELYN LAVENDER LCDC II
825 DENNISON AVE
COLUMBUS, OH 43215-1315
Phone number: 614-291-4691