Individual
KAYLA LYNN GROSSENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC (C.2406461)
Contact information
Practice address
1433 5TH ST. NW, NEW PHILADEPHIA, OH 44663
(330) 343-8171
(330) 409-9081
Mailing address
1433 5TH ST NW, NEW PHILADELPHIA, OH 44663-1223
(330) 204-4321
(330) 409-9081
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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