Individual provider · Type 1 NPI

Andrea Dismuke

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1790275147 Active

Practice location

6400 E Broad St. FL4
Columbus, OH 43213-1505

Call (614) 655-3345 Map

Mailing address

6400 E Broad St Fl 4
Columbus, OH 43213-1505

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1790275147

Andrea Dismuke's National Provider Identifier is 1790275147, issued on May 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Sep 25, 2019.