Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | E0007425 | OH |
NPI | 1003037623 |
---|---|
Provider Name | Miss Melissa Nicole Daniele |
First Address | Beachwood, OH 44122 |
Second Address | Beachwood, OH 44122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |