Organization
EDMISTON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANNE EDMISTON MSW, LISW (LICENSED INDEPENDENT SOCIAL WORKER)
(614) 407-5312
Entity
Organization
Contact information
Practice address
261 W JOHNSTOWN RD STE 211, GAHANNA, OH 43230-3094
(614) 407-5312
Mailing address
261 W JOHNSTOWN RD STE 211, GAHANNA, OH 43230-3094
(614) 407-5312
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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