Individual
MRS. CARLA EUGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
1255 N HAMILTON RD # 139, GAHANNA, OH 43230-6785
(614) 723-9193
Mailing address
2661 LILYPARK DR, COLUMBUS, OH 43219-5544
(330) 705-6865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1000239
OH
101YM0800X
Mental Health Counselor
Primary
E.1700236-SUPV
OH
Other
Enumeration date
11/05/2014
Last updated
07/07/2020
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