Mccombs, Jacquelyn R

Mccombs, Jacquelyn R is an individual health care provider with primary practice located at 5665 Hoover Rd , Grove City OH 43123-9280. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mccombs, Jacquelyn R can be contacted via phone (614) 875-2371.

Contact Information

Primary practice address
5665 Hoover Rd Grove City OH 43123-9280
Phone: (614) 875-2371
Fax: (614) 875-2116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161593 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.161969 Ohio

Profile Details

NPI number 1063926194
LBN Legal business name Mccombs, Jacquelyn R
Credentials QMHS, LCDC III
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2017
Last updated Apr 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063926194 NPPES
Ohio MEDICAID 0065539

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