Individual
JACQUELINE YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW,LICDC
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Mailing address
106 N MURRAY HILL RD, COLUMBUS, OH 43228-1524
(614) 710-1496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162463
OH
104100000X
Social Worker
S.2106950
OH
106H00000X
Marriage & Family Therapist
Primary
2106950
OH
Other
Enumeration date
03/04/2019
Last updated
09/26/2024
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