Sherife-Kekulah, Mandisa
Sherife-Kekulah, Mandisa is an sole proprietor health care provider with primary practice located at 1045 Klotz Rd , Bowling Green OH 43402-4820. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sherife-Kekulah, Mandisa can be contacted via phone (419) 352-7588.Contact Information
Primary practice address
1045 Klotz Rd
Bowling Green OH 43402-4820
Phone: (419) 352-7588
Fax: (419) 354-4977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C0900456 | Ohio |
Profile Details
| NPI number | 1669881447 |
|---|---|
| LBN Legal business name | Sherife-Kekulah, Mandisa |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2014 |
| Last updated | Aug 6th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669881447 | NPPES |
| Ohio | Other | C0900456 | STATE OF OHIO BOARD OF COUNSELING, SOCIAL WORK, MARRIAGE & FAMILY THERAPY |
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