Individual
ANITA ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3401 ENTERPRISE PKWY STE 250, BEACHWOOD, OH 44122-7343
(216) 765-0500
Mailing address
6811 MAYFIELD RD APT 598, MAYFIELD HEIGHTS, OH 44124-2222
(216) 203-6952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1901883
OH
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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