Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | E-0001669 | OH |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | E-0001669 | OH |
N | 101YM0800X | Mental Health Counselor | E-0001669 | OH |
N | 101YP1600X | Pastoral Counselor | E-0001669 | OH |
Y | 101YP2500X | Professional Counselor | E-0001669 | OH |
NPI | 1205059433 |
---|---|
Provider Name | Abel Odoyo Oriri |
First Address | Cleveland Heights, OH 44118-2246 |
Second Address | Cleveland Hts, OH 44118-2571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 13/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0191028 | (05) | OH |
226098000 | MAGELLAN (01) | OH |
246638 | VALUE OPTION (01) | OH |
294948799 | CARE SOURCE (01) | OH |
53143805 | UBH (01) |