Individual
AMY BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1385 KING AVE, COLUMBUS, OH 43212-2220
(716) 866-0510
(614) 437-7142
Mailing address
1385 KING AVE, COLUMBUS, OH 43212-2220
(716) 866-0510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1200545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
06/06/2013
Last updated
11/15/2018
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