Provider Demographics
NPI:1225467988
Name:NEAL, JENNY (LPC)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 NORTHWOODS BLVD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4728
Mailing Address - Country:US
Mailing Address - Phone:614-327-0269
Mailing Address - Fax:
Practice Address - Street 1:136 NORTHWOODS BLVD
Practice Address - Street 2:SUITE B2
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4728
Practice Address - Country:US
Practice Address - Phone:614-327-0269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA. 120731101YA0400X
OHC1200658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)