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Dr. Jessica Headley, LPCC-S
Mental Health Counselor in Canton, Ohio
NPI 1316450562

Jessica Headley is a Mental Health Counselor based in Canton, OH and is specialized in Mental Health. Jessica Headley practices in Canton, OH and has the professional credentials of LPCC-S. The NPI Number for Jessica Headley is 1316450562 and holds a License No. E.1901408-SUPV (Ohio).

The current practice location address for Jessica Headley is 4522 Fulton Dr Nw, Canton, OH and can be reached out via phone at 330-915-2907 and via fax at 330-915-2958.

Location: 4522 Fulton Dr Nw, Canton, OH, 44718-2332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316450562
Provider Name
Jessica Headley
Credential
LPCC-S
Provider Entity Type
Individual
Gender
Female
Address
4522 Fulton Dr Nw, Canton, OH, 44718-2332
Phone Number
330-915-2907
Fax Number
330-915-2958
Provider Enumeration Date
11/09/2017
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0280724 05 OH
institution
Provider Business Practice Location Address Details
Address
4522 Fulton Dr Nw
City
Canton
State
Ohio
Zip
44718-2332
Phone Number
330-915-2907
Fax Number
330-915-2958
person
Provider Business Mailing Address Details
Address
4522 Fulton Dr Nw
City
Canton
State
Ohio
Zip
44718-2332
Phone Number
330-915-2907
Fax Number
330-915-2958
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
E.1901408-SUPV (Ohio)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
E.1901408-SUPV (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
E.1901408-SUPV (Ohio)
Definition
Definition to come...
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