Jendi S McNicholas, CDCA, LPC
Counselor, Professional in Warren, OH. Individual provider (NPI-1).
NPI number1982196374
StatusActive
Last updated in NPPESAug 5, 2020
Details
- NPI
- 1982196374
- Entity type
- Individual (NPI-1)
- Name
- Jendi S McNicholas
- Credential
- CDCA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2018
- Certification date
- Aug 5, 2020
- Last updated
- Aug 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C.1901677 | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.167911 | OH |
Other names
- Jendi S Schmelzlen (Former Name)
Practice location
320 High St NeWarren, OH 44481-1222
Phone 330-797-0070
Mailing address
2020 Sandpiper Trl SeWarren, OH 44484-5716
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