Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | E0002877-SUPV | OH |
NPI | 1003257288 |
---|---|
Provider Name | Mr. Joseph N Messner |
First Address | Wooster, OH 44691-9523 |
Second Address | Wooster, OH 44691-9523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2013 |
Last Update Date | 16/07/2013 |