Individual
CRAIG FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 251-6941
Mailing address
899 E BROAD ST, COLUMBUS, OH 43205-1156
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0900068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C0900068
—
OH
Enumeration date
05/22/2017
Last updated
06/16/2018
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