Individual
HAILEY ANJOLIQUE BURKHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC, LCSW
Contact information
Practice address
4971 ARLINGTON CENTRE BLVD STE B, COLUMBUS, OH 43220-3382
(614) 301-3546
Mailing address
4971 ARLINGTON CENTRE BLVD STE B, COLUMBUS, OH 43220-3382
(614) 301-3546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162894
OH
104100000X
Social Worker
LCSW2140840
MA
104100000X
Social Worker
Primary
S.2512094
OH
Other
Enumeration date
04/26/2025
Last updated
10/31/2025
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