Individual
MRS. CARLA R URBANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPCC,LICDC
Contact information
Practice address
300 JAMES BOHANAN DR, VANDALIA, OH 45377
(937) 742-7516
(937) 415-0152
Mailing address
300 JAMES BOHANAN DR, VANDALIA, OH 45377-2300
(937) 742-7516
(937) 415-0152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
991606
OH
101YM0800X
Mental Health Counselor
Primary
E3194
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167698
—
OH
05
—
0174629
—
OH
05
—
0215462
—
OH
05
—
0284072
—
OH
05
—
0284082
—
OH
05
—
0284102
—
OH
05
—
0285456
—
OH
05
—
0285498
—
OH
05
—
0286795
—
OH
Enumeration date
07/11/2006
Last updated
06/21/2018
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