Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C0900452 | OH |
N | 225C00000X | Rehabilitation Counselor | 00113141 | OH |
NPI | 1184118630 |
---|---|
Provider Name | Kathleen Byrnes |
First Address | Columbus, OH 43228-9155 |
Second Address | Columbus, OH 43228-9155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2018 |
Last Update Date | 19/06/2018 |