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Provider Information for 1730203290


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Mrs. JONI M. OBRECHT MA, PC


Sex: Female

NPI: 1730203290
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1730203290
Enumeration Date2007-03-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2204 TOWNSHIP ROAD 505
LOUDONVILLE, OH 44842-9630
United States

Phone: 419-368-3293 | Fax:
 
Primary Practice Address 2285 BENDEN DR
WOOSTER, OH 44691-2568
United States

Phone: 330-264-9029 | Fax:330-263-7251
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalOHC.0501223