Individual
ELISA REBECCA KIBBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 WAGER ST, COLUMBUS, OH 43206-1451
(614) 353-9568
Mailing address
726 WAGER ST, COLUMBUS, OH 43206-1451
(614) 353-9568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
177170
OH
Other
Enumeration date
02/16/2024
Last updated
03/24/2024
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