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NPI Code Detail

MEDICARE: MR. MARK LONDEREE LPCC-S

MEDICARE: MR. MARK LONDEREE LPCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.1200195-SUPVOH

General Provider Information

NPI Number : 1104248418
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK LONDEREE LPCC-S
Provider Business Mailing Address
First Line : 1160 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43222-1352
Country : US
Telephone Number : 614-274-1455
Fax Number : 614-274-1433
Provider Business Practice Location Address
First Line : 1560 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1803
Country : US
Telephone Number : 614-274-1455
Fax Number : 614-274-1433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2014
Last Update Date : 06/16/2026

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Directions to “ MR. MARK LONDEREE LPCC-S” Practice Location

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