Individual
BRENNA O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1955 OHIO DR, GROVE CITY, OH 43123-4835
(614) 991-0658
(614) 413-3536
Mailing address
1955 OHIO DR, GROVE CITY, OH 43123-4835
(614) 991-0658
(614) 413-3536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.181113
OH
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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