Individual provider · Type 1 NPI

Jessica De Groot, CT

Mental Health Counselor · Moraine, OH

NPI number 1801646237 Active

Practice location

2211 Arbor Blvd
Moraine, OH 45439-1521

Mailing address

16 Gebhart St
Dayton, OH 45410-1719

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.2405426-TRNE (OH)

Mental Health Counselor: Definition to come...

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About NPI 1801646237

Jessica De Groot, CT's National Provider Identifier is 1801646237, issued on Mar 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moraine, OH. The record was last updated on Mar 26, 2024.