Individual
JENNIFER ANAHATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LICDC
Contact information
Practice address
3964 HAMILTON SQUARE BLVD, GROVEPORT, OH 43125-9119
(614) 610-1506
Mailing address
4832 WENDLER BLVD, COLUMBUS, OH 43230-1645
(340) 643-7758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162098
OH
1041C0700X
Clinical Social Worker
Primary
I.2103155
OH
Other
Enumeration date
07/27/2018
Last updated
11/22/2021
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