Basic Information
| Provider Information | |||||||||
| NPI: | 1275572760 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DUBLIN COUNSELING CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7214 HOPEWELL ST | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430172813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6147662429 | ||||||||
| FaxNumber: | 6148899335 | ||||||||
| Practice Location | |||||||||
| Address1: | 299 CRAMER CREEK CT | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430172586 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148895722 | ||||||||
| FaxNumber: | 6148899335 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SPRAGUE | ||||||||
| AuthorizedOfficialFirstName: | GLORIA | ||||||||
| AuthorizedOfficialMiddleName: | COLONNA | ||||||||
| AuthorizedOfficialTitleorPosition: | MENTAL HEALTH COUNSELOR/CLINICIAN | ||||||||
| AuthorizedOfficialTelephone: | 6148895722 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LPCC, LICDC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251K00000X | E2850 | OH | Y | Agencies | Public Health or Welfare |
No ID Information.