MEDICARE: ERIN GWENDOLYN HOWARD CDCAII

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	162201	OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	178456	OH

General Provider Information

NPI Number	:	1548732951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN GWENDOLYN HOWARD CDCAII

Provider Business Mailing Address
First Line	:	7673 METROPOLITAN DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-8949
Country	:	US
Telephone Number	:	561-371-3541
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 S 5TH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-4325
Country	:	US
Telephone Number	:	614-253-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2018
Last Update Date	:	02/03/2026

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