Individual
HALEY MUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
(513) 272-2807
Mailing address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(280) 051-3272
(807) 513-2722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2204349
OH
101YM0800X
Mental Health Counselor
C.2002893-TRNE
OH
101YP2500X
Professional Counselor
Primary
E.2404585
OH
Other
Enumeration date
11/16/2021
Last updated
08/12/2024
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