Basic Information
| Provider Information | |||||||||
| NPI: | 1225498868 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CURRENT | ||||||||
| FirstName: | ANNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5590 SPRING RIVER AVE | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430166278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377320604 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1855 E DUBLIN GRANVILLE RD STE 204 | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432293516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148462588 | ||||||||
| FaxNumber: | 6142677013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2016 | ||||||||
| LastUpdateDate: | 02/24/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | S.1450514 | OH | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.