Individual
MS. ELIZABETH GWEN DEGENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1323 E 18TH AVE, COLUMBUS, OH 43211-2554
(614) 972-5160
Mailing address
1323 E 18TH AVE, COLUMBUS, OH 43211-2554
(614) 972-5160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187392
OH
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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