Jeffrey Lane Conrad, LPC

NPI #1447768932 in Yellow Springs, Ohio

Provider Information

NPI Number: 1447768932
Entity Type: Individual
Name: Jeffrey Lane Conrad, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jan 18, 2018
Last Updated: Oct 20, 2023

Practice Location

Address: 360 E ENON RD
City: Yellow Springs
State: Ohio
ZIP Code: 45387-1415
Phone: (937) 767-1303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor	101Y00000X	Primary

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