Individual
MARLENE CRYSTAL HANSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 BRUCK ST, COLUMBUS, OH 43207-1973
(614) 949-3600
Mailing address
PO BOX 83126, COLUMBUS, OH 43203-0126
(614) 949-3600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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