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Jessica Blevins

Counselor, Addiction (Substance Use Disorder) in Portsmouth, OH. Individual provider (NPI-1).

NPI number1679080279
StatusActive
Last updated in NPPESAug 4, 2023

Details

NPI
1679080279
Entity type
Individual (NPI-1)
Name
Jessica Blevins
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 4, 2018
Certification date
Aug 4, 2023
Last updated
Aug 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LCDCII.161899OHYes
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.166965OH
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.163903OH
101YM0800X Counselor, Mental HealthQMHS.ASSOCIATESOH

Practice location

1907 11th St
Portsmouth, OH 45662-4531

Phone 513-941-4999 · Fax 513-694-0168

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958

Phone 513-941-4999 · Fax 513-694-0168

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