person
Jeralyn Renee Tharp, LPCC-SLICDC
Professional Counselor in Englewood, Ohio
NPI 1073848750

Jeralyn Renee Tharp is a Professional Counselor based in Englewood, OH and is specialized in Professional. Jeralyn Renee Tharp practices in Englewood, OH and has the professional credentials of LPCC-SLICDC. The NPI Number for Jeralyn Renee Tharp is 1073848750 and holds a License No. E.1800797 (Ohio).

The current practice location address for Jeralyn Renee Tharp is 609 Woodside Dr, Englewood, OH and can be reached out via phone at 937-540-9495 and via fax at 937-962-6210. You can also correspond with Jeralyn Renee Tharp through the mailing address at 609 WOODSIDE DR STE A, ENGLEWOOD, OH - 45322-1848 (mailing address contact number: 937-540-9495).

Location: 609 Woodside Dr, Englewood, OH, 45322-1848
person
Provider Profile Details
NPI Number
1073848750
Provider Name
Jeralyn Renee Tharp
Credential
LPCC-SLICDC
Provider Entity Type
Individual
Gender
Female
Address
609 Woodside Dr, Englewood, OH, 45322-1848
Phone Number
937-540-9495
Fax Number
937-962-6210
Provider Enumeration Date
10/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G0332295 05 OH
G0332295 01 OH MEDICAID
institution
Provider Business Practice Location Address Details
Address
609 Woodside Dr
City
State
Zip
45322-1848
Phone Number
937-540-9495
Fax Number
937-962-6210
person
Provider Business Mailing Address Details
Address
609 Woodside Dr
City
State
Zip
45322-1848
Phone Number
937-540-9495
Fax Number
937-962-6210
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E.1800797 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E.1800797 (Ohio)
Definition
Definition to come...
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