Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | C.1200655-TRNE | OH |
N | 101YP2500X | Professional Counselor | C.1200655 | OH |
Y | 101YP2500X | Professional Counselor | E.1901044 | OH |
NPI | 1003154410 |
---|---|
Provider Name | Larysa Gilbert |
First Address | Columbus, OH 43235-5652 |
Second Address | Dublin, OH 43017-2586 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2013 |
Last Update Date | 14/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003154410 | (05) | OH |