Organization
COUNSELING CENTER FOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE R AGNEW MSW, LISW-S, LCDC-II (OWNER)
(419) 222-7180
Entity
Organization
Contact information
Practice address
222 S WEST ST, LIMA, OH 45801-4842
(419) 222-7180
(419) 228-8439
Mailing address
222 S WEST ST, LIMA, OH 45801-4842
(419) 222-7180
(419) 228-8439
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-0002118
OH
Other
Enumeration date
06/22/2006
Last updated
04/14/2011
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