Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 141076-2 | OH |
NPI | 1003332826 |
---|---|
Provider Name | Maureen Elizabeth Harford |
First Address | Tiffin, OH 44883-8868 |
Second Address | Tiffin, OH 44883-8868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2017 |
Last Update Date | 15/08/2017 |