Provider Demographics
NPI:1790011369
Name:ZGONC, JENNIFER N (LPCC-S)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:N
Last Name:ZGONC
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:N
Other - Last Name:COMBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:1078 RAVEN PL APT 205
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9323
Mailing Address - Country:US
Mailing Address - Phone:330-612-2143
Mailing Address - Fax:
Practice Address - Street 1:4125 MEDINA RD STE 207
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-4514
Practice Address - Country:US
Practice Address - Phone:330-665-8171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0800489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health