| Doctor Name: | JESSICA WARRICK |
| NPI Number: | 1093123929 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C |
| License Number: | C.1300006 |
| Business Practice Address: | 9754 Kenwood Rd Blue Ash, OH - 452426159 |
| Business Phone Number: | 5137933661 |
| Business Fax Number: | |
| Mailing Address: | 3031 Aerial Ave Apt 4, KETTERING |
| State: | OH |
| Postal Code: | 454293460 |
| Phone Number: | 9375453137 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2014 |
| NPI Last Update Date: | 07/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C.1300006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |