Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | IN66679CS | OH |
NPI | 1275992026 |
---|---|
Provider Name | Misty Rees |
First Address | Pendleton, IN 46064-9026 |
Second Address | Pendleton, IN 46064-9026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2016 |
Last Update Date | 22/02/2016 |