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Jeffrey Lane Conrad, LPC
Counselor in Yellow Springs, Ohio
NPI 1447768932

Jeffrey Lane Conrad is a Counselor based in Yellow Springs, OH. Jeffrey Lane Conrad practices in Yellow Springs, OH and has the professional credentials of LPC. The NPI Number for Jeffrey Lane Conrad is 1447768932 and holds a License No. C.0500644 (Ohio).

The current practice location address for Jeffrey Lane Conrad is 360 E Enon Rd, Yellow Springs, OH and can be reached out via phone at 937-767-1303 and via fax at 937-767-1025.

Location: 360 E Enon Rd, Yellow Springs, OH, 45387-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447768932
Provider Name
Jeffrey Lane Conrad
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
360 E Enon Rd, Yellow Springs, OH, 45387-1415
Phone Number
937-767-1303
Fax Number
937-767-1025
Provider Enumeration Date
01/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
360 E Enon Rd
City
Yellow Springs
State
Ohio
Zip
45387-1415
Phone Number
937-767-1303
Fax Number
937-767-1025
person
Provider Business Mailing Address Details
Address
360 E Enon Rd
City
Yellow Springs
State
Ohio
Zip
45387-1415
Phone Number
937-767-1303
Fax Number
937-767-1025
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.0500644 (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
Professional
Taxonomy
101YP2500X
License No.
C.0500644 (Ohio)
Definition
Definition to come...
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