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Behavioral Health & Social Service Providers Counselor Mental Health

Provider NPI: 1043556020

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 614-722-8200  Fax: 614-722-8422

Business Mailing Address:
PO BOX 715194  COLUMBUS, OH 43271-5194 US
Tel: 614-355-8004  Fax: 614-355-0509

NPI Information:
NPI: 1043556020
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Mental Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 101YM0800X





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