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Individual

MR. EDWARD SCOTT DAGENFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICDC, LPC

Contact information

Practice address
691 S 5TH ST, COLUMBUS, OH 43206-2120
(614) 443-6155
(614) 444-1482
Mailing address
2575 BRANDON RD, COLUMBUS, OH 43221-3301
(614) 481-0770
(614) 444-1482

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
85225
OH
101YP2500X
Professional Counselor
Primary
C5409
OH

Other

Enumeration date
01/14/2006
Last updated
09/11/2025
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