Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CDCA.176323 | OH |
NPI | 1003495029 |
---|---|
Provider Name | Robin Julia Bilby |
First Address | Akron, OH 44309-1501 |
Second Address | Akron, OH 44311-2151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2021 |
Last Update Date | 06/04/2021 |