Healthcare Provider Details

I. General information

NPI: 1649199977
Provider Name (Legal Business Name): CHRISTINA AMBER GEORGE CDCA-P, CPRS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 OLDE RIDENOUR RD
GAHANNA OH
43230-2528
US

IV. Provider business mailing address

2525 DENMARK RD
COLUMBUS OH
43232-4629
US

V. Phone/Fax

Practice location:
  • Phone: 614-300-3214
  • Fax: 614-633-1800
Mailing address:
  • Phone: 380-282-2565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.007105
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number196634
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: