Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | E0004055 | OH |
NPI | 1003098674 |
---|---|
Provider Name | Dr. James M Athans |
First Address | Akron, OH 44304-1273 |
Second Address | Akron, OH 44304-1273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2007 |
Last Update Date | 05/12/2007 |