JACQUELYN LAVENDER

COLUMBUS, OH
NPI1902357973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCIII.162533)
Enumeration Date2016-10-14
Last Update Date2024-07-09
Business Address
JACQUELYN LAVENDER LCDC III
1455 S 4TH ST
COLUMBUS, OH 43207-1011
Phone number: 614-444-0800
Mailing Address
JACQUELYN LAVENDER LCDC III
1455 S 4TH ST
COLUMBUS, OH 43207-1011
Phone number: 614-444-0800
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