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Individual
KAYLA LYNN GROSSENBACHER
Active
Individual
KAYLA LYNN GROSSENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC (C.2406461)
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2406461
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162697
OH
Other
Enumeration date
06/18/2021
Last updated
09/26/2024
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