Individual
JAMES EDWARD PHELAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCDC III
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 920-0387
Mailing address
543 TAYLOR AVENUE, COLUMBUS, OH 43203
(614) 920-0387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW008553L
PA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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