Organization
MILESTONE ADDICTION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DEAN (ADMIN)
(614) 706-5206
Entity
Organization
Contact information
Practice address
106 N MURRAY HILL RD, COLUMBUS, OH 43228
(614) 928-3663
(614) 928-3664
Mailing address
106 N MURRAY HILL RD, COLUMBUS, OH 43228-1524
(614) 928-3663
(614) 928-3664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/30/2017
Last updated
03/13/2020
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