Individual
MRS. AMY LYNN HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Mailing address
3700 BEHM RD, COLUMBUS, OH 43207-3407
(614) 824-8518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161645
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/19/2019
Last updated
07/09/2020
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