Jenevieve Pilar Dersam
Jenevieve Pilar Dersam is a Mental Health Counselor in Lancaster, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1550 Sheridan Dr Ste 302Lancaster, OH 43130-1380
Phone: (220) 207-8034
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1033962816 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2024 |
| Last updated in NPPES | April 10, 2024 |
| Certification date | April 10, 2024 |
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