Individual
AMY LEIGH CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1000196
OH
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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