| NPI | 1629430764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN FAUCETTE Psychotherapist, Counselor 330-542-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I0900303S) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH I0900303S) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-10-06 |