Individual
ELISA POST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PC
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0900037
OH
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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