Individual
VIVIANA R CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMFT, LPC
Contact information
Practice address
195 N GRANT AVE STE 250, COLUMBUS, OH 43215-2855
(888) 522-9174
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C.1700764
OH
106H00000X
Marriage & Family Therapist
Primary
F.2000146
OH
106H00000X
Marriage & Family Therapist
M.1700028
OH
Other
Enumeration date
04/27/2018
Last updated
10/27/2020
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