Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | E.0700289 | OH |
NPI | 1003238031 |
---|---|
Provider Name | Mrs. Cristie L Yontz-Hall |
First Address | Urbana, OH 43078-2302 |
Second Address | Urbana, OH 43078-2302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2014 |
Last Update Date | 18/09/2014 |