Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | E.1800813 | OH |
NPI | 1003442450 |
---|---|
Provider Name | Nicole Hess |
First Address | Columbus, OH 43210-1250 |
Second Address | Columbus, OH 43210-1250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2020 |
Last Update Date | 18/03/2020 |