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Organization

ROOT COUNSELING GROWTH & DEVELOPMENT FOR ADULTS, ADOLES & CHILD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AVALON BULTEMA ESPINOZA LISW-S (CLINICAL SOCIAL WORKER)
(614) 395-9183
Entity
Organization

Contact information

Practice address
500 W WILSON BRIDGE RD STE 75, WORTHINGTON, OH 43085-2238
(614) 395-9183
Mailing address
500 W WILSON BRIDGE RD STE 75, WORTHINGTON, OH 43085-2238
(614) 395-9183

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/05/2022
Last updated
03/05/2022
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