Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | 34489 | OH |
NPI | 1215050539 |
---|---|
Provider Name | Ms. Denise Lynn O'conner |
First Address | Plain City, OH 43064-9706 |
Second Address | Plain City, OH 43064-9706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |