Individual
JEFFREY MICHAEL VANDYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LPC
Contact information
Practice address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Mailing address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C.2204291
OH
101YP2500X
Professional Counselor
Primary
E.2505462
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006781
—
OH
Enumeration date
02/15/2022
Last updated
07/03/2025
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