Conrad, Jeffrey Lane

Conrad, Jeffrey Lane is an individual health care provider with primary practice located at 360 E Enon Rd , Yellow Springs OH 45387-1415. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Conrad, Jeffrey Lane can be contacted via phone (937) 767-1303.

Contact Information

Primary practice address
360 E Enon Rd Yellow Springs OH 45387-1415
Phone: (937) 767-1303
Fax: (937) 767-1025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.0500644 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.0500644 Ohio

Profile Details

NPI number 1447768932
LBN Legal business name Conrad, Jeffrey Lane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2018
Last updated Oct 20th, 2023 - about last year

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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