Individual
ANGELES G GRAMAJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC
OH
104100000X
Social Worker
LSW
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN
OH
164W00000X
Licensed Practical Nurse
LPN
OH
171M00000X
Case Manager/Care Coordinator
Primary
NON-LICENSED
OH
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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