| Doctor Name: | JESSICA FOSNAUGH |
| NPI Number: | 1083929715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC-S |
| License Number: | C.0700388 |
| Business Practice Address: | 22540 Lorain Rd Fairview Park, OH - 441262212 |
| Business Phone Number: | 4407344037 |
| Business Fax Number: | |
| Mailing Address: | 22540 Lorain Rd, FAIRVIEW PARK |
| State: | OH |
| Postal Code: | 441262212 |
| Phone Number: | 4407344037 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2010 |
| NPI Last Update Date: | 05/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C.0700388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |