Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | C0016312 |
NPI | 1255670410 |
---|---|
Provider Name | Mr. Christopher John Gerber |
First Address | Canton, OH 44718-2216 |
Second Address | Canton, OH 44718-2216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2013 |
Last Update Date | 26/11/2014 |