Individual
GULLED OMAR MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
6020 GROVEPORT RD, GROVEPORT, OH 43125-1005
(614) 567-6274
Mailing address
6020 GROVEPORT RD, GROVEPORT, OH 43125-1005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190541
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/13/2025
Last updated
12/30/2025
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