Individual
CIERA SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 407-1240
Mailing address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 407-1240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.177824
OH
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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