Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | C.1500838 | OH |
Y | 101YP2500X | Professional Counselor | E.1901073 | OH |
NPI | 1003347733 |
---|---|
Provider Name | Jaime Saunders |
First Address | Dayton, OH 45417-3424 |
Second Address | Dayton, OH 45417-3424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2017 |
Last Update Date | 06/03/2019 |