Moundbuilders Guidance Center, INC

NPI #1043489503 in Newark, Ohio

Provider Information

NPI Number: 1043489503
Entity Type: Organization
Organization Name: Moundbuilders Guidance Center, INC
Primary Specialty: Counselor
Enumeration Date: Feb 28, 2008
Last Updated: Feb 28, 2008

Practice Location

Address: 65 MESSIMER DR
City: Newark
State: Ohio
ZIP Code: 43055-1874
Phone: (740) 522-8477

Authorized Official

Name: LAURA EDELBLUTE
Title: CHIEF OPERATING OFFICER
Phone: (740) 788-0244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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