Individual
HALEY MUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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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