Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C-8074 | OH |
N | 225C00000X | Rehabilitation Counselor | 50016 |
NPI | 1336601103 |
---|---|
Provider Name | Barbara Nicole Korba |
First Address | Saint Clairsville, OH 43950-8801 |
Second Address | Saint Clairsville, OH 43950-8801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2019 |
Last Update Date | 16/05/2019 |