Organization
KRISTINA L EDLER, LLC
Active
Organization
KRISTINA L EDLER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA L EDLER LISWS (CLINICAL THERAPIST)
(614) 209-1234
Entity
Organization
Contact information
Practice address
3040 RIVERSIDE DR STE 206, UPPER ARLINGTON, OH 43221-2550
(614) 209-1234
Mailing address
2718 MOUNT HOLYOKE RD, COLUMBUS, OH 43221-3425
(614) 209-1234
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
I.1451189
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
I.1451189
OH
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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