| Doctor Name: | JILL A MCCOOL |
| NPI Number: | 1154576486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | I.0800053 |
| Business Practice Address: | 4761 State Route 29 Celina, OH - 458228216 |
| Business Phone Number: | 4195841000 |
| Business Fax Number: | 4195841825 |
| Mailing Address: | 4761 State Route 29, CELINA |
| State: | OH |
| Postal Code: | 458228216 |
| Phone Number: | 4195841000 |
| Fax Number: | 4195841825 |
| NPI Enumeration Date: | 12/01/2008 |
| NPI Last Update Date: | 12/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | I.0800053 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |