| Pjfinc Counseling Ltd | |
|
615 E North Broadway St Columbus OH 43214-4133 | |
| (614) 593-2649 | |
| Not Available |
| Full Name | Pjfinc Counseling Ltd |
|---|---|
| Speciality | Counselor |
| Location | 615 E North Broadway St, Columbus, Ohio |
| Authorized Official Name and Position | Patrick J Fowler (OWNER) |
| Authorized Official Contact | 6145932649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pjfinc Counseling Ltd 615 E North Broadway St Columbus OH 43214-4133 Ph: (614) 593-2649 | Pjfinc Counseling Ltd 615 E North Broadway St Columbus OH 43214-4133 Ph: (614) 593-2649 |
| NPI Number | 1871168583 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Medicare PECOS PAC ID | 4284034117 |
|---|---|
| Medicare Enrollment ID | O20210615002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871168583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patrick James Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700395464 PECOS PAC ID: 8022427541 Enrollment ID: I20210512002050 |
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