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Jessica Nicole Doherty, CDCA,PRS
Peer Specialist in Cincinnati, Ohio
NPI 1467036756

Jessica Nicole Doherty is a Peer Specialist based in Cincinnati, OH. Jessica Nicole Doherty practices in Cincinnati, OH and has the professional credentials of CDCA,PRS. The NPI Number for Jessica Nicole Doherty is 1467036756 and holds a License No. CDCA.182954 (Ohio).

The current practice location address for Jessica Nicole Doherty is 1501 Madison Rd, Cincinnati, OH and can be reached out via phone at 513-354-7066 and via fax at 513-354-7115. You can also correspond with Jessica Nicole Doherty through the mailing address at 1501 MADISON RD, CINCINNATI, OH - 45206 (mailing address contact number: 513-354-7066).

Location: 1501 Madison Rd, Cincinnati, OH, 45206
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Provider Profile Details
NPI Number
1467036756
Provider Name
Jessica Nicole Doherty
Credential
CDCA,PRS
Provider Entity Type
Individual
Gender
Female
Address
1501 Madison Rd, Cincinnati, OH, 45206
Phone Number
513-354-7066
Fax Number
513-354-7115
Provider Enumeration Date
05/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000 01 OH LICENSURE BOARD
institution
Provider Business Practice Location Address Details
Address
1501 Madison Rd
City
State
Zip
45206
Phone Number
513-354-7066
Fax Number
513-354-7115
person
Provider Business Mailing Address Details
Address
1501 Madison Rd
City
State
Zip
45206
Phone Number
513-354-7066
Fax Number
513-354-7115
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
APS.002209 (Ohio)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CDCA.182954 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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