Individual
DEBRA JEAN KINGSEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4998 W BROAD ST STE 104, COLUMBUS, OH 43228-1647
(614) 754-8051
Mailing address
5983 CARMELL DR, COLUMBUS, OH 43228-9275
(614) 704-6916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
177740
OH
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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