Individual
CHARLES LEE DEPRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.C.
Contact information
Practice address
975 S SUNBURY RD, WESTERVILLE, OH 43081-9345
(614) 865-0513
Mailing address
441 SHERWOOD DR W, NEWARK, OH 43055-4465
(740) 345-7484
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C70007091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C70007091
LICENSE
OH
Enumeration date
06/18/2007
Last updated
07/08/2007
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