Provider Demographics
NPI:1235815655
Name:COLIJN, HENDRIK CHRISTIAN (LPC)
Entity Type:Individual
Prefix:
First Name:HENDRIK
Middle Name:CHRISTIAN
Last Name:COLIJN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 BANTING ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1653
Mailing Address - Country:US
Mailing Address - Phone:614-306-1447
Mailing Address - Fax:
Practice Address - Street 1:1565 BETHEL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2005
Practice Address - Country:US
Practice Address - Phone:614-459-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2305211101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional