Organization
ESSENCE COUNSELING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORA K WALLACE-WOOD LPCC, LICDC (CLINICAL COUNSELOR)
(614) 441-5419
Entity
Organization
Contact information
Practice address
1115 BETHEL RD, COLUMBUS, OH 43220-2690
(614) 441-5419
Mailing address
1115 BETHEL RD, COLUMBUS, OH 43220-2690
(614) 441-5419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281262
—
OH
Enumeration date
01/16/2019
Last updated
06/11/2019
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