Individual
DR. DONNA LYNNE POPPENDIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC-CS, OCPSII
Contact information
Practice address
4766 SHELL CT S, COLUMBUS, OH 43213-2048
(614) 209-7889
Mailing address
4766 SHELL CT S, COLUMBUS, OH 43213-2048
(614) 209-7889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001355
OH
405300000X
Prevention Professional
0939-C03
OH
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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