Individual
GWENDOLYN WHATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 251-6926
Mailing address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 251-6926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ICDC.061012-CS
OH
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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