Provider Demographics
NPI:1689782450
Name:NAPLES MUIR, MARY V (LPCC, LICDC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:V
Last Name:NAPLES MUIR
Suffix:
Gender:F
Credentials:LPCC, LICDC
Other - Prefix:
Other - First Name:GIGI
Other - Middle Name:
Other - Last Name:MUIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC, LICDC
Mailing Address - Street 1:101 CLEVELAND AVE NW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44702-1700
Mailing Address - Country:US
Mailing Address - Phone:330-454-7066
Mailing Address - Fax:330-454-9427
Practice Address - Street 1:101 CLEVELAND AVE NW
Practice Address - Street 2:SUITE 300
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44702-1700
Practice Address - Country:US
Practice Address - Phone:330-454-7066
Practice Address - Fax:330-454-9427
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2294101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health