person
Mr. Jeremy R Hayworth, LPCC-S
Professional Counselor in Dayton, Ohio
NPI 1306355219

Jeremy R Hayworth is a Professional Counselor based in Cleveland, OH and is specialized in Professional. Jeremy R Hayworth practices in Dayton, OH and has the professional credentials of LPCC-S. The NPI Number for Jeremy R Hayworth is 1306355219 and holds a License No. E.1700339-SUPV (Ohio).

The current practice location address for Jeremy R Hayworth is 1 Childrens Plz, Dayton, OH and can be reached out via phone at 937-641-3401 and via fax at 937-641-3046.

Location: 1 Childrens Plz, Dayton, OH, 44193-0039
person
Provider Profile Details
NPI Number
1306355219
Provider Name
Jeremy R Hayworth
Credential
LPCC-S
Provider Entity Type
Individual
Gender
Male
Address
1 Childrens Plz, Dayton, OH, 44193-0039
Phone Number
937-641-3401
Fax Number
937-641-3046
Provider Enumeration Date
09/22/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0282633 05 OH
institution
Provider Business Practice Location Address Details
Address
1 Childrens Plz
City
State
Zip
45404-1815
Phone Number
937-641-3401
Fax Number
937-641-3046
person
Provider Business Mailing Address Details
Address
1 Childrens Plz
City
State
Zip
45404-1815
Phone Number
937-641-3401
Fax Number
937-641-3046
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E.1700339-SUPV (Ohio)
Definition
Definition to come...
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