Individual
AMY AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1900 POLARIS PKWY STE 450, COLUMBUS, OH 43240-4064
(614) 905-1868
(614) 416-0345
Mailing address
9230 RAMI AVE, COLUMBUS, OH 43240-2158
(614) 905-1868
(614) 416-0345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
E.1400012
OH
Other
Enumeration date
12/04/2013
Last updated
04/07/2023
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