Provider Demographics
NPI:1477984201
Name:LOOKABAUGH, AIDEE
Entity type:Individual
Prefix:MRS
First Name:AIDEE
Middle Name:
Last Name:LOOKABAUGH
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:AIDEE
Other - Middle Name:
Other - Last Name:RUBIO CARLOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AIDEE DURHAM
Mailing Address - Street 1:18 N FORGE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1317
Mailing Address - Country:US
Mailing Address - Phone:330-762-0591
Mailing Address - Fax:
Practice Address - Street 1:18 N FORGE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1317
Practice Address - Country:US
Practice Address - Phone:330-762-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
OHF.2300364106H00000X
CAAMFT109413106H00000X
CALMFT141667106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional