Individual
CAROLYN IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LCDCIII
Contact information
Practice address
825 DENNISON AVE, COLUMBUS, OH 43215-1315
(614) 291-4691
Mailing address
825 DENNISON AVE, COLUMBUS, OH 43215-1315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
976174
OH
104100000X
Social Worker
S0027710
OH
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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