Provider Demographics
NPI:1306336060
Name:JOSSELYN, SONJA N (LPCC)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:N
Last Name:JOSSELYN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 OBERLE AVE
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9765
Mailing Address - Country:US
Mailing Address - Phone:888-891-8567
Mailing Address - Fax:614-386-5108
Practice Address - Street 1:5600 GENDER RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8451
Practice Address - Country:US
Practice Address - Phone:888-891-8567
Practice Address - Fax:614-386-5108
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1801010101YP2500X
OHE.2102408101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional