Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C1300109 | OH |
NPI | 1003395534 |
---|---|
Provider Name | Alex Clarke Rouff |
First Address | Hamilton, OH 45011-4315 |
Second Address | West Chester, OH 45069-1511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2018 |
Last Update Date | 06/08/2018 |