Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | C0700917 | OH |
NPI | 1003359852 |
---|---|
Provider Name | Maribeth Lieberth |
First Address | Uniontown, OH 44685-8602 |
Second Address | Akron, OH 44313-7502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2016 |
Last Update Date | 28/11/2016 |