| NPI | 1194886671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HEIDBREDER Insurance Clerk 330-867-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002808) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C8395) |
| 101YP2500X Counselor, Professional (Licence: OH C0500011) | |
| 101YP2500X Counselor, Professional (Licence: OH E.0004392) | |
| 101YP2500X Counselor, Professional (Licence: OH C-0007496) | |
| 101YP2500X Counselor, Professional (Licence: OH E.0003226) | |
| 101YP2500X Counselor, Professional (Licence: OH E.0003613) | |
| 101YP2500X Counselor, Professional (Licence: OH E-0003876) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 6067) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 4867) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 5447) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 5280) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 035724) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |