Organization
IMAGINE RECOVERY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KELLY (COUNSELOR)
(419) 344-9079
Entity
Organization
Contact information
Practice address
261 W JOHNSTOWN RD STE 107, GAHANNA, OH 43230-2887
(419) 344-9079
Mailing address
261 W JOHNSTOWN RD STE 107, GAHANNA, OH 43230-2887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431031
—
OH
Enumeration date
06/22/2021
Last updated
06/22/2021
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