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Organization

YVONNE JUDGE, LLC

Active
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Organization

YVONNE JUDGE, LLC

Active
Other names
Revitalize You
Organization subpart
No

Provider details

NPI number
Authorized official
YVONNE JUDGE MFT (OWNER)
(937) 516-3607
Entity
Organization

Contact information

Practice address
2550 CORPORATE EXCHANGE DR STE 100, COLUMBUS, OH 43231-1660
(614) 245-5119
Mailing address
6750 SAWYERS CREEK RD, WESTERVILLE, OH 43081-7676
(614) 245-5119

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL

Other

Enumeration date
08/28/2020
Last updated
04/09/2024
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