Jividen, Jill Lynn

Jividen, Jill Lynn is an sole proprietor health care provider with primary practice located at 112 E Main St Fl 2 , Kent OH 44240-2525. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jividen, Jill Lynn can be contacted via phone (330) 414-5652.

Contact Information

Primary practice address
112 E Main St Fl 2 Kent OH 44240-2525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0602046 Ohio

Profile Details

NPI number 1982912564
LBN Legal business name Jividen, Jill Lynn
Credentials M.ED.,LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2010
Last updated Mar 29th, 2023 - about 2 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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