person
Courtney Ellen Mandeville
Addiction (Substance Use Disorder) Counselor in Columbus, Ohio
NPI 1124727763

Courtney Ellen Mandeville is an Addiction (Substance Use Disorder) Counselor based in Canal Winchester, OH and is specialized in Addiction (Substance Use Disorder). Courtney Ellen Mandeville practices in Columbus, OH. The NPI Number for Courtney Ellen Mandeville is 1124727763 and holds a License No. CDCA.182294 (Ohio).

The current practice location address for Courtney Ellen Mandeville is 3121 W Broad St, Columbus, OH and can be reached out via phone at 614-869-2002 and via fax at 614-792-6240.

Location: 3121 W Broad St, Columbus, OH, 43110-8730
person
Provider Profile Details
NPI Number
1124727763
Provider Name
Courtney Ellen Mandeville
Credential
Provider Entity Type
Individual
Gender
Female
Address
3121 W Broad St, Columbus, OH, 43110-8730
Phone Number
614-869-2002
Fax Number
614-792-6240
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3121 W Broad St
City
State
Zip
43204-1306
Phone Number
614-869-2002
Fax Number
614-792-6240
person
Provider Business Mailing Address Details
Address
3121 W Broad St
City
State
Zip
43204-1306
Phone Number
614-869-2002
Fax Number
614-792-6240
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.182294 (Ohio)
Definition
Definition to come...
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