Individual
EDWARD J O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC-CS
Contact information
Practice address
1115 S HAMILTON RD, COLUMBUS, OH 43227-1311
(380) 201-1110
Mailing address
899 E BROAD ST, COLUMBUS, OH 43205-1156
(614) 220-8655
(614) 220-8658
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.933651
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
933651
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
09/22/2016
Last updated
03/17/2024
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