Provider Demographics
NPI:1477309714
Name:DENT, JENNIFER JAN (LSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JAN
Last Name:DENT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6651 EAGLE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8061
Mailing Address - Country:US
Mailing Address - Phone:330-323-7534
Mailing Address - Fax:
Practice Address - Street 1:6651 EAGLE RIDGE LN
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8061
Practice Address - Country:US
Practice Address - Phone:330-323-7534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor