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Organization
MINDFUL YOUTH
Active
Organization
MINDFUL YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ORR LPCC (PRESIDENT)
(513) 550-0776
Entity
Organization
Contact information
Practice address
1026 DELTA AVE, STE B, CINCINNATI, OH 45208-3163
(513) 550-0776
Mailing address
PO BOX 141382, CINCINNATI, OH 45250-1382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0900032
OH
Other
Enumeration date
07/22/2012
Last updated
07/22/2012
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