Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1164034229 |
---|---|
Provider Name | Karla Deayne Morton |
First Address | Delaware, OH 43015-9661 |
Second Address | Delaware, OH 43015-9661 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2020 |
Last Update Date | 20/08/2020 |