Individual
GAY T HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
2323 LAKE CLUB DR STE 204, COLUMBUS, OH 43232-3198
(614) 604-8573
Mailing address
815 W BROAD ST STE 200, COLUMBUS, OH 43222-1478
(614) 717-7082
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
005682
OH
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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