Individual
CANDACE PAULUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
Mailing address
547 11TH AVE, COLUMBUS, OH 43211
(614) 224-4506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
991626
OH
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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