NPI | 1780071183 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA ATKINSON Credentialing Manager 614-414-0187 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
102L00000X Psychoanalyst | |
103TC1900X Psychologist, Counseling | |
104100000X Social Worker | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2015-04-23 |