Individual
CORA MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1375 US HIGHWAY 42 SE, LONDON, OH 43140-9548
(740) 845-8652
Mailing address
3493 BIGBY HOLLOW CT, COLUMBUS, OH 43228-9787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2102321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337555
—
OH
Enumeration date
06/19/2018
Last updated
06/10/2021
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