Individual provider · Type 1 NPI

Jennifer Odessa Lacknett, MSW, LSW, LCDC III

Addiction (Substance Use Disorder) Counselor · Newark, OH

NPI number 1699296947 Active · reactivated Aug 17, 2021

Practice location

30 S 4th St
Newark, OH 43055-5002

Call (614) 334-6903 Map

Mailing address

5559 Raiders Road
Frazeyburg, OH 43822

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XS.2004927 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162436 (OH)

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

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About NPI 1699296947

Jennifer Odessa Lacknett, MSW, LSW, LCDC III's National Provider Identifier is 1699296947, issued on Jun 27, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, OH. The record was last updated on Mar 17, 2024.