| Imagine Recovery Counseling | |
|
261 W Johnstown Rd Ste 107 Gahanna OH 43230-2887 | |
| (419) 344-9079 | |
| Not Available |
| Full Name | Imagine Recovery Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 261 W Johnstown Rd Ste 107, Gahanna, Ohio |
| Authorized Official Name and Position | Kristen Kelly (COUNSELOR) |
| Authorized Official Contact | 4193449079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Recovery Counseling 261 W Johnstown Rd Ste 107 Gahanna OH 43230-2887 Ph: () - | Imagine Recovery Counseling 261 W Johnstown Rd Ste 107 Gahanna OH 43230-2887 Ph: (419) 344-9079 |
| NPI Number | 1548839731 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 06/22/2021 |
| Certification Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548839731 | NPI | - | NPPES |
| 0431031 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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