Organization · Type 2 NPI

Jill L. Jividen

Professional Counselor · Kent, OH

NPI number 1023706454 Active

Practice location

112 E Main St Fl 2
Kent, OH 44240-2525

Call (330) 414-5652 Map

Mailing address

853 Stonewater Dr
Kent, OH 44240-2052

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1023706454

Jill L. Jividen's National Provider Identifier is 1023706454, issued on Apr 25, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kent, OH. The record was last updated on Apr 25, 2023.