Individual
JACQUELINE ABBINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S BURGESS AVE, COLUMBUS, OH 43204-3255
(614) 634-4208
Mailing address
206 S BURGESS AVE, COLUMBUS, OH 43204-3255
(614) 634-4208
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2580446
—
OH
Enumeration date
11/15/2020
Last updated
11/15/2020
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