Individual provider · Type 1 NPI

Jacquelyn Lavender, LCDC III

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1902357973 Active

Practice location

1455 S 4th St
Columbus, OH 43207-1011

Call (614) 444-0800 Map

Fax (614) 444-1036

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDCIII.162533 (OH)

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

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About NPI 1902357973

Jacquelyn Lavender, LCDC III's National Provider Identifier is 1902357973, issued on Oct 14, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Jul 9, 2024.