Individual
DONNA RAE YENDERUSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
495 E MAIN ST, COLUMBUS, OH 43215-5349
(614) 355-8007
(614) 355-8620
Mailing address
PO BOX 715194, COLUMBUS, OH 43271-5194
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1000333
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
10/18/2013
Last updated
11/26/2013
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