Individual
AMY MCCALLUM MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
1115 BETHEL RD, SUITE 7, COLUMBUS, OH 43220-2690
(614) 457-5053
(614) 451-3017
Mailing address
1335 DUBLIN RD, SUITE 208D, COLUMBUS, OH 43215-1000
(614) 538-0353
(614) 429-3219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0602249
OH
Other
Enumeration date
12/13/2010
Last updated
08/19/2014
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