Individual
MICHELLE KILLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1579 S HIGH ST, COLUMBUS, OH 43207-1804
(225) 329-8882
Mailing address
1579 S HIGH ST, COLUMBUS, OH 43207-1804
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
QF-2235-3561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659952299
OHIO
OH
01
—
QF-2235-3561
D-SAACP
TX
Enumeration date
04/29/2021
Last updated
04/29/2021
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