Jill L. Jividen

NPI #1023706454 in Kent, Ohio

Provider Information

NPI Number: 1023706454
Entity Type: Organization
Organization Name: Jill L. Jividen
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 25, 2023
Last Updated: Apr 25, 2023

Practice Location

Address: 112 E MAIN ST FL 2
City: Kent
State: Ohio
ZIP Code: 44240-2525
Phone: (330) 414-5652

Authorized Official

Name: JILL JIVIDEN
Title: OWNER
Phone: (330) 414-5652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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