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Provider Information for 1033651658


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Mrs. YOLANDA ISELA HODGE LPCC-S


Other Names:  
Former Name: 
Ms. YOLANDA ISELA BOARD LPCC-S

Sex: Female

NPI: 1033651658
Last Updated: 2021-08-02
Certification Date: 2021-07-19

Details

NameValue
NPI1033651658
Enumeration Date2016-11-14
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1855 E DUBLIN GRANVILLE RD
SUITE 204
COLUMBUS, OH 43229-3516
United States

Phone: 614-267-7003 | Fax:
 
Primary Practice Address 1855 E DUBLIN GRANVILLE RD
SUITE 204
COLUMBUS, OH 43229-3516
United States

Phone: 614-267-7003 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOH1003085648
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalOHC.1500672