Individual provider · Type 1 NPI

Mary K. Theil, LPCC

Professional Counselor · Lisbon, OH

NPI number 1649321043 Active

Practice location

40722 State Route 154
Lisbon, OH 44432-8500

Fax (330) 424-0877

Mailing address

219 Quincy Ave
Columbiana, OH 44408-1435

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE0002685 (OH)

Professional Counselor: Definition to come...

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About NPI 1649321043

Mary K. Theil, LPCC's National Provider Identifier is 1649321043, issued on Jan 15, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lisbon, OH. The record was last updated on Jul 8, 2007.