Epiphany Psychotherapy & Consultation, Llc | |
341 S 3rd St Ste 100-344 Columbus OH 43215-5463 | |
(614) 665-5100 | |
(855) 844-8447 |
Full Name | Epiphany Psychotherapy & Consultation, Llc |
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Speciality | Psychologist - Clinical |
Location | 341 S 3rd St Ste 100-344, Columbus, Ohio |
Authorized Official Name and Position | D'andria A. A Jackson (OWNER/LICENSED CLINICAL PSYCHOLOGIS) |
Authorized Official Contact | 6146655100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Epiphany Psychotherapy & Consultation, Llc 1739 Cottonwood Dr Lewis Center OH 43035-7937 Ph: (202) 439-6469 | Epiphany Psychotherapy & Consultation, Llc 341 S 3rd St Ste 100-344 Columbus OH 43215-5463 Ph: (614) 665-5100 |
NPI Number | 1285245522 |
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Provider Enumeration Date | 08/11/2020 |
Last Update Date | 08/11/2020 |
Certification Date | 08/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285245522 | NPI | - | NPPES |
1285044776 | Other | VA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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