Individual
ALICIA CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
1560 FISHINGER ROAD, COLUMBUS, OH 43221-2108
(614) 457-7876
(614) 457-1040
Mailing address
1560 FISHINGER ROAD, COLUMBUS, OH 43221-2108
(614) 457-7876
(614) 457-1040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
964505
OH
Other
Enumeration date
06/16/2010
Last updated
06/17/2010
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