Provider Demographics
NPI:1629377510
Name:SKAGGS, JENNIFER (LPCC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:SKAGGS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1406
Mailing Address - Country:US
Mailing Address - Phone:330-996-4500
Mailing Address - Fax:330-564-9296
Practice Address - Street 1:611 W MARKET ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303
Practice Address - Country:US
Practice Address - Phone:330-996-4500
Practice Address - Fax:330-564-9296
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1000132-TRNE101YM0800X
OHE1000132101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health