Healthcare Provider Details

I. General information

NPI: 1174141543
Provider Name (Legal Business Name): EMANUEL G WERNER LPCC, LCDCIII, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2020
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 SAWMILL RD. SUITE 150
DUBLIN OH
43016
US

IV. Provider business mailing address

7251 SAWMILL RD. SUITE 150
DUBLIN OH
43016
US

V. Phone/Fax

Practice location:
  • Phone: 614-766-0161
  • Fax: 614-766-0298
Mailing address:
  • Phone: 614-766-0161
  • Fax: 614-766-0298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberOH3098144
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1300019
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: