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Individual

ERIN TEBBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
655 E LIVINGSTON AVE, COLUMBUS, OH 43205-2618
(614) 722-8200
(614) 722-8422
Mailing address
PO BOX 715194, COLUMBUS, OH 43271-5194
(614) 355-8004
(614) 355-0509

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0900210
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2846675
OH
Enumeration date
12/20/2012
Last updated
12/20/2012
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