# IMAGINE RECOVERY COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548839731
- **Authorized official:** KRISTEN KELLY (COUNSELOR)
- **Authorized official phone:** (419) 344-9079

## Contact information

- **Practice address:** 261 W JOHNSTOWN RD STE 107, GAHANNA, OH 43230-2887
- **Practice address phone:** (419) 344-9079
- **Mailing address:** 261 W JOHNSTOWN RD STE 107, GAHANNA, OH 43230-2887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 06/22/2021