Individual provider · Type 1 NPI

Jill Mick

Addiction (Substance Use Disorder) Counselor · Ravenna, OH

NPI number 1225987092 Active

Practice location

6693 N Chestnut St Ste 268B
Ravenna, OH 44266-3900

Call (234) 718-8118 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X144379 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225987092

Jill Mick's National Provider Identifier is 1225987092, issued on Jan 26, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ravenna, OH. The record was last updated on Jan 26, 2026.