Most Relevant Information
Provider Data
| NPI Number: | 1003478074 |
| Provider Name: | ELIZABETH ROSE THUENER |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | 00703 |
Most Important Dates
| Enumeration Date: | 07/01/2019 |
| Last Updated: | 07/01/2019 |
Provider Practice Location
16 W LONG ST
COLUMBUS
OH
432152815
Practice Location Phone/Fax
| Phone: | 6142250990 |
| Fax: |
Provider Mailing Location
16 W LONG ST
COLUMBUS
OH
432152815
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |