Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C.1600643 | OH |
NPI | 1003341744 |
---|---|
Provider Name | Chuckeia Folley |
First Address | Dayton, OH 45405-1731 |
Second Address | Dayton, OH 45405-1731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2017 |
Last Update Date | 01/05/2017 |