Doctor Name: | MRS. EMILY CONBOY |
NPI Number: | 1326477613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPCC |
License Number: | E.1300062 |
Business Practice Address: | 335 Buckeye Blvd Port Clinton, OH - 434521423 |
Business Phone Number: | 4197342942 |
Business Fax Number: | |
Mailing Address: | 335 Buckeye Blvd, PORT CLINTON |
State: | OH |
Postal Code: | 434521423 |
Phone Number: | 4028713474 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2013 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E.1300062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |