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Organization
22 W MAIN COUNSELING GROUP LLP
Active
Organization
22 W MAIN COUNSELING GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BOCK LPCC-S (OWNER/PSYCHOTHERAPIST)
(614) 568-3044
Entity
Organization
Contact information
Practice address
22 W MAIN ST, WESTERVILLE, OH 43081-2110
(614) 568-3044
(614) 413-3597
Mailing address
22 W MAIN ST, WESTERVILLE, OH 43081-2110
(614) 568-3044
(614) 413-3597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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