| Kristina L Edler, Llc | |
|
3040 Riverside Dr Ste 206 Upper Arlington OH 43221-2550 | |
| (614) 209-1234 | |
| Not Available |
| Full Name | Kristina L Edler, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3040 Riverside Dr Ste 206, Upper Arlington, Ohio |
| Authorized Official Name and Position | Kristina L Edler (CLINICAL THERAPIST) |
| Authorized Official Contact | 6142091234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina L Edler, Llc 2718 Mount Holyoke Rd Columbus OH 43221-3425 Ph: (614) 209-1234 | Kristina L Edler, Llc 3040 Riverside Dr Ste 206 Upper Arlington OH 43221-2550 Ph: (614) 209-1234 |
| NPI Number | 1811410210 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811410210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | I.1451189 (Ohio) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | I.1451189 (Ohio) | Secondary |
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