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Organization
TALO COUNSELING SERVICES LLC
Active
Organization
TALO COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYAN SHIRE HASSAN LSW (CLINICIAN)
(614) 532-8187
Entity
Organization
Contact information
Practice address
2021 E DUBLIN GRANVILLE RD STE 170, COLUMBUS, OH 43229-3548
(614) 532-8187
Mailing address
PO BOX 1307, DUBLIN, OH 43017-6307
(614) 532-8187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1451394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165820
—
OH
05
—
0166439
—
OH
Enumeration date
11/21/2016
Last updated
04/03/2024
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