Individual
MRS. MARY ELLEN SOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
(419) 756-5642
Mailing address
235 BARTLEY AVE, MANSFIELD, OH 44903-2005
(419) 565-1314
(419) 756-5642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0007898-SUPV
OH
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/25/2007
Last updated
05/03/2021
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