Organization
CREEKSIDE COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULRIKE JENNIFER ERIKA MARTIN LISW (OWNER/OPERATOR)
(740) 330-4310
Entity
Organization
Contact information
Practice address
44 KINTNER PKWY STE E, SUNBURY, OH 43074-9368
(740) 330-4310
Mailing address
1970 N COUNTY ROAD 605, SUNBURY, OH 43074-8981
(740) 330-4310
(740) 330-4330
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
07/24/2024
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