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Jacqueline Concodora, PCC

NPI 1932388311 · on the registry since 2007

Practice

Address
5134 Cedar Village Dr
3c
Mason, OH 45040
Phone
(513) 229-7900
Fax
(513) 229-0202
Organisation at this address
Grandi Inc.
Laura Vail Sage Inc
Crestview Mental Health Of Ohio, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio