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Organization
MOMENTUM COUNSELING AND CONSULTATION, LLC
Active
Organization
MOMENTUM COUNSELING AND CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R SALAZAR LISW-S, LICDC-CS (OWNER)
(419) 305-7214
Entity
Organization
Contact information
Practice address
427 E MARKET ST, CELINA, OH 45822
(419) 305-7214
(567) 890-7214
Mailing address
427 E MARKET ST, CELINA, OH 45822-1736
(419) 305-7214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.00007811-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155813
—
OH
Enumeration date
08/13/2016
Last updated
06/06/2018
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