Individual
MEKENNA PAIGE ATTERHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1751 E LONG ST, COLUMBUS, OH 43203-2045
(614) 253-8050
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2203839-TRNE
OH
106S00000X
Behavior Technician
RBT-20-131783
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/09/2020
Last updated
09/01/2022
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