Individual
BENNETTI G. MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED., LPC, LICDC
Contact information
Practice address
1289 E LIVINGSTON AVE, COLUMBUS, OH 43205-2838
(614) 252-8834
(614) 252-0158
Mailing address
PO BOX 91347, BEXLEY, OH 43209-7347
(614) 235-6795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161395
OH
Other
Enumeration date
11/02/2016
Last updated
02/11/2025
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