Individual
CYNTHIA A. FONTANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
CHILDREN'S HOSPITAL GUIDANCE CENTER, 5675 VENTURE DRIVE, DUBLIN, OH 43017
(614) 355-8080
(614) 355-8018
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-9600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 0600014
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08258
MACSIS
OH
Enumeration date
05/15/2007
Last updated
09/27/2021
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