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Individual
DR. KATRINA JEAN WYCHE
Active
Individual
DR. KATRINA JEAN WYCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., OCPC, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.181204
OH
251S00000X
Community/Behavioral Health Agency
—
—
405300000X
Prevention Professional
OCPC.161325
OH
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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