UPI (Provider ID): 1167
Change Report (if Any):

Short Name: DUBLIN COUNSEL

Long Name 1: DUBLIN COUNSELING CENTER
Long Name 2:

Address 1: 299 CRAMER CREEK COURT
Address 2:

City: DUBLIN
Zip Code: 43017
County: FRAN

Contact: KATHRYN HELMS
Title: EX DR
Phone: 6148895722
FAX: 6148899335

Vendor: 1167

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 02/29/2012

File Produced: 19MAY2012