Individual
ELISA HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT TRAINEE
Contact information
Practice address
623 PARK MEADOW RD STE H, WESTERVILLE, OH 43081-2876
(614) 357-7183
(855) 740-2025
Mailing address
623 PARK MEADOW RD STE H, WESTERVILLE, OH 43081-2876
(614) 357-7183
(855) 740-2025
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M.2100232-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M.2100232-TRNE
COUNSELOR, SOCIAL WORKER & MFT BOARD
OH
Enumeration date
05/07/2021
Last updated
05/07/2021
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