Organization Name: | CONCORD COUNSELING SERVICES |
NPI Number: | 1043258767 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONSTANCE H EMERSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 700 Brooksedge Blvd Westerville |
State: | OH US |
Postal Code: | 430812820 |
Phone Number: | 6148829338 |
Fax Number: | 6148823401 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 05/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0213 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |