Individual provider · Type 1 NPI

Jennifer Burnside, LCDCIII

Counselor · Lebanon, OH

NPI number 1417414962 Active

Practice location

777 Columbus Ave
Lebanon, OH 45036-1684

Call (513) 228-6590 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X991509 (OH)

Counselor: 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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About NPI 1417414962

Jennifer Burnside, LCDCIII's National Provider Identifier is 1417414962, issued on Feb 20, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lebanon, OH. The record was last updated on Feb 20, 2019.