| Doctor Name: | JENNIFER LIU |
| NPI Number: | 1053745067 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PC |
| License Number: | C 1200233 |
| Business Practice Address: | 7140 Office Park Dr Liberty Township, OH - 450692261 |
| Business Phone Number: | 5137772428 |
| Business Fax Number: | |
| Mailing Address: | 7140 Office Park Dr, LIBERTY TOWNSHIP |
| State: | OH |
| Postal Code: | 450692261 |
| Phone Number: | 5137772428 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2013 |
| NPI Last Update Date: | 09/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C 1200233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |