Provider Demographics
NPI:1588104137
Name:CULBERTSON, JOSHUA DOUGLAS (LPCC)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DOUGLAS
Last Name:CULBERTSON
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 COLUMBUS LANCASTER RD NW
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8125
Mailing Address - Country:US
Mailing Address - Phone:614-706-0975
Mailing Address - Fax:
Practice Address - Street 1:3048 COLUMBUS LANCASTER RD NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8125
Practice Address - Country:US
Practice Address - Phone:614-706-0975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-01
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2002046101Y00000X
OHCDCA.160931101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRR388795OtherOHIO DRIVER'S LICENSE