Organization
COVENANT PSYCHOLOGICAL AND CONSULTING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J WAGNER (PRESIDENT)
(614) 863-2399
Entity
Organization
Contact information
Practice address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 863-2399
Mailing address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 863-2399
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5746
OH
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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