IndividualActive
Amanda Jacks, IECMH CONSULTANT
NPI 1801654504 · Health Educator · Athens, OH
Provider details
- NPI number
- 1801654504
- Entity type
- Individual
- Primary specialty
- Health EducatorOther Service Providers
- Credential
- IECMH CONSULTANT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
9 Kenny Dr
Athens, OH 45701-9406
Phone: (740) 589-5132
Fax: (740) 593-6129
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 188
Chillicothe, OH 45601-0188
Registry dates
- Enumerated
- 2024-03-08
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.