Individual
AMY CHENNELLS-SEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4897 KARL RD, COLUMBUS, OH 43229-5147
(614) 846-2588
Mailing address
6037 CLEVELAND AVE, COLUMBUS, OH 43231-2256
(614) 267-7003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187945
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/05/2025
Last updated
02/02/2026
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