Individual
MS. MARNA L BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0000714 SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928198
—
OH
01
—
2503973
MRDD CONTRACT NUMBER
OH
Enumeration date
04/22/2007
Last updated
05/07/2015
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