Organization · Type 2 NPI

Supertherapy

Mental Health Counselor · Madison, OH

NPI number 1104664341 Active

Practice location

59 S Lake St
Madison, OH 44057-3245

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104664341

Supertherapy's National Provider Identifier is 1104664341, issued on Jul 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, OH. The record was last updated on Jul 19, 2024.