Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003033739 |
---|---|
Provider Name | Mrs. Sonja H. Cheatham |
First Address | Mason, OH 45040-9344 |
Second Address | Batavia, OH 45103-1959 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 08/07/2007 |