Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | 00047853 | OH |
NPI | 1235698275 |
---|---|
Provider Name | Melissa Maria Mccarthy |
First Address | Mason, OH 45040-1934 |
Second Address | Mason, OH 45040-1934 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2019 |
Last Update Date | 19/03/2019 |