Individual
MS. JUDY A LAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0007720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000393694
ANTHEM BLUE CROSS BLUE SHIELD
OH
01
—
269402980005
MEDICAL MUTUAL INS. PIN
OH
Enumeration date
10/03/2006
Last updated
02/14/2012
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