Individual
JON BOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 W WOODRUFF AVE, COLUMBUS, OH 43210-1118
(614) 931-0228
Mailing address
498 HANFORD ST, COLUMBUS, OH 43206-2820
(614) 931-0228
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
P.7675
OH
Other
Enumeration date
08/08/2014
Last updated
06/14/2021
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