Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 933699 | OH |
N | 101YP1600X | Pastoral Counselor | ORDAINED MINISTER | OH |
N | 101YP2500X | Professional Counselor | E-0001964 | OH |
NPI | 1194802488 |
---|---|
Provider Name | Thomas L. Stricker SR. |
First Address | Van Wert, OH 45891-1107 |
Second Address | Van Wert, OH 45891-2449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |