Healthcare Provider Details

I. General information

NPI: 1992968614
Provider Name (Legal Business Name): SARAH DYLAN GABRIC LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6209 RIVERSIDE DR STE 200
DUBLIN OH
43017-6028
US

IV. Provider business mailing address

6209 RIVERSIDE DR STE 200
DUBLIN OH
43017-6028
US

V. Phone/Fax

Practice location:
  • Phone: 740-504-0792
  • Fax: 614-310-4941
Mailing address:
  • Phone: 740-504-0792
  • Fax: 614-310-4941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: