Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Lavender, LCDCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902357973

Jacquelyn Lavender, LCDCIII is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2016.

Licensed in
OH
In the registry since
2016

Practice location Address checks out

1455 S 4th St
Columbus, OH 43207-1011
Phone: (614) 444-0800
Fax: (614) 444-1036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCIII.162533 (OH)

Record details

NPI number1902357973
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDCIII
Sole proprietorNo
NPI enumeratedOctober 14, 2016
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

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