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NPI Profile for JESSICA L DOUGLAS in WOOSTER, OH.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Prevention Professional |
405300000X | |||
Professional |
101YP2500X |
| NPI Number | 1639945975 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 11/28/2023 | |
| Last updated | 05/23/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JESSICA L DOUGLAS
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JESSICA L DOUGLAS, LPC