Individual
HAZEL VIRGINIA COMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 372-3000
Mailing address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 372-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.031059
OH
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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