Jody A Franks, PCC, CRC

Individual provider Active NPI Professional Counselor · Weston, OH

NPI 1508930355 · NPPES record last updated Apr 14, 2010

Key facts

NPI
1508930355
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
E0007935 (OH)
Practice address
14356 Van Tassel Rd
Weston, OH 43569-9748
Phone
(419) 885-0200
Fax
(419) 885-0200
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
E0007935OHMDProfessional Counselor
CRC 00055512OHMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0007935 OH Yes
Case Manager/Care Coordinator 171M00000X CRC 00055512 OH

Addresses

Primary practice location

14356 Van Tassel Rd
Weston, OH 43569-9748

Mailing address

PO Box 8440
Toledo, OH 43623-0440
Phone (419) 885-0200

Other identifiers

IdentifierTypeStateIssuer
0615641MedicaidOH

Other providers in Weston, OH

All providers in Weston, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.