| NPI | 1033596358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY JONELLE NIELSEN Professional Counselor Clinical Res 614-595-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C1000527-CR) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |