Individual
CHANITA MARIE PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LICDC
Contact information
Practice address
596 ROCKY FORK BLVD, GAHANNA, OH 43230-5306
(614) 705-3511
Mailing address
596 ROCKY FORK BLVD, GAHANNA, OH 43230-5306
(614) 705-3511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161775
OH
101YM0800X
Mental Health Counselor
Primary
C.2103701
OH
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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