Individual
DR. RAAKHEE BANSAL GONELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LICDC
Contact information
Practice address
1649 BRICE RD STE A, REYNOLDSBURG, OH 43068-2796
(614) 864-3434
Mailing address
1649 BRICE RD STE A, REYNOLDSBURG, OH 43068-2796
(614) 864-3434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
P.08674
OH
Other
Enumeration date
12/20/2017
Last updated
08/06/2024
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