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Individual
KATHERINE A CLINE GRYCZA
Active
Individual
KATHERINE A CLINE GRYCZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.169604
OH
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
CDCA.165592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327860
—
OH
Enumeration date
01/02/2018
Last updated
06/28/2021
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