| NPI | 1932651718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE DEAS Counselor/Sole Proprietor 614-315-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E0600321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0600321) |
| 101YP2500X Counselor, Professional (Licence: OH E0600321) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |