Individual
ALGENONORTHIA JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA 090434
Contact information
Practice address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 407-1245
Mailing address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 407-1245
(614) 340-3083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
090434
OH
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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