Individual
CARRIE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-8235
(321) 318-7086
Mailing address
4726 WILLIAMS LAKE RD SW, STONE CREEK, OH 43840-9311
(321) 318-7086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
187024
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
2084P0802X
Addiction Psychiatry Physician
187024
OH
Other
Enumeration date
08/31/2023
Last updated
06/05/2026
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