Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
N | 101YP2500X | Professional Counselor |
NPI | 1124614722 |
---|---|
Provider Name | Connor D English |
First Address | Akron, OH 44313-7502 |
Second Address | Akron, OH 44313-7502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2020 |
Last Update Date | 17/12/2020 |