Individual
EVAN KRISTINE VANDERPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1670 UPHAM DR FL 1, COLUMBUS, OH 43210-1250
(614) 293-9600
(614) 293-1456
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-9600
(614) 293-1456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2004999
OH
1041C0700X
Clinical Social Worker
Primary
I.2304720
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
12/06/2017
Last updated
02/07/2024
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