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Individual
MARY B FELDMANN
Active
Individual
MARY B FELDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.131018
OH
101YM0800X
Mental Health Counselor
Primary
E.1000047
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
OHIO DEPARTMENT ALCOHOL DRUG SERVICES (ODADAS)
OH
01
—
0074946
OHIO DEPARTMENT MENTAL HEALTH (ODMH)
OH
01
—
01-0693
CARF CERTIFICATION
OH
Enumeration date
09/05/2014
Last updated
07/23/2019
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