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Organization
SANCTUARY COLLECTIVE
Active
Organization
SANCTUARY COLLECTIVE
Active
Other names
Sanctuary Night
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH RUTH ESTABROOK LPCC-S (EXECUTIVE DIRECTOR)
(614) 562-0397
Entity
Organization
Contact information
Practice address
1195 SULLIVANT AVE., COLUMBUS, OH 43223
(614) 349-1154
Mailing address
1195 SULLIVANT AVE, COLUMBUS, OH 43223-1350
(614) 562-0397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478449
—
OH
Enumeration date
06/22/2021
Last updated
08/04/2022
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