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Individual

CETA GUGLIEMOTTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC III

Contact information

Practice address
895 PARSONS AVE STE B, COLUMBUS, OH 43206-2398
(614) 434-6052
Mailing address
8350 REYNOLDSWOOD DR, REYNOLDSBURG, OH 43068-9334
(614) 307-3983

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161444
OH
104100000X
Social Worker
Primary

Other

Enumeration date
04/09/2019
Last updated
10/21/2024
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