Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C1200318 | OH |
NPI | 1003246273 |
---|---|
Provider Name | Lanaya Mcdonald |
First Address | Toledo, OH 43610-1173 |
Second Address | Toledo, OH 43610-1173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2013 |
Last Update Date | 25/11/2013 |