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Jennifer Burnside, LCDCIII
Counselor in Lebanon, Ohio
NPI 1417414962

Jennifer Burnside is a Counselor based in Lebanon, OH. Jennifer Burnside practices in Lebanon, OH and has the professional credentials of LCDCIII. The NPI Number for Jennifer Burnside is 1417414962 and holds a License No. 991509 (Ohio).

The current practice location address for Jennifer Burnside is 777 Columbus Ave, Lebanon, OH and can be reached out via phone at 513-228-6590.

Location: 777 Columbus Ave, Lebanon, OH, 45036-1684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417414962
Provider Name
Jennifer Burnside
Credential
LCDCIII
Provider Entity Type
Individual
Gender
Female
Address
777 Columbus Ave, Lebanon, OH, 45036-1684
Phone Number
513-228-6590
Fax Number
Provider Enumeration Date
02/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4752702 05 OH
institution
Provider Business Practice Location Address Details
Address
777 Columbus Ave
City
Lebanon
State
Ohio
Zip
45036-1684
Phone Number
513-228-6590
Fax Number
person
Provider Business Mailing Address Details
Address
777 Columbus Ave
City
Lebanon
State
Ohio
Zip
45036-1684
Phone Number
513-228-6590
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
991509 (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.
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