Supertherapy

NPI #1104664341 in Madison, Ohio

Provider Information

NPI Number
1104664341
Entity Type
Organization
Organization Name
Supertherapy
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jul 19, 2024
Last Updated
Jul 19, 2024

Practice Location

Address
59 S LAKE ST
State
Ohio
ZIP Code
44057-3245
Phone
(234) 212-8254

Authorized Official

Name
MICHAEL BOYCE
Title
CLINICAL COUNSELOR
Phone
(234) 212-8254

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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