Organization
NORTH COMMUNITY COUNSELING CTRS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B KITTREDGE (PRESIDENT)
(614) 237-7003
Entity
Organization
Contact information
Practice address
2300 W BROAD ST, COLUMBUS, OH 43204-3783
(614) 279-7690
(614) 279-7695
Mailing address
4897 KARL RD, COLUMBUS, OH 43229-5147
(614) 269-7003
(614) 267-7013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2499783
—
OH
Enumeration date
08/24/2005
Last updated
05/17/2012
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