Individual
MARIAH L DERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
446 MORGAN ST, CINCINNATI, OH 45206
(513) 834-7063
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1400445
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276214
—
OH
Enumeration date
06/26/2015
Last updated
06/05/2018
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