Jacklyn Ewald, LPC

NPI #1003370578 in Dayton, Ohio

Provider Information

NPI Number: 1003370578
Entity Type: Individual
Name: Jacklyn Ewald, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jan 29, 2019
Last Updated: Jul 1, 2020

Practice Location

Address: 601 SOUTH EDWIN C MOSES BLVD
City: Dayton
State: Ohio
ZIP Code: 45417
Phone: (937) 734-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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