Chiclowe, Jacquelyn M

Chiclowe, Jacquelyn M is an individual health care provider with primary practice located at 103 W Market St , Warren OH 44481-1017. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Chiclowe, Jacquelyn M can be contacted via phone (330) 394-8831.

Contact Information

Primary practice address
103 W Market St Warren OH 44481-1017
Phone: (330) 394-8831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X C.1902159-TRNE Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C.2103075 Ohio

Profile Details

NPI number 1861032351
LBN Legal business name Chiclowe, Jacquelyn M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2020
Last updated Feb 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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