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Individual

EULALIA BOARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8170 SOUTH AVENUE, SUITE 7, YOUNGSTOWN,, OH 44512-6434
(330) 953-3325
Mailing address
3437 MAPLE DR, NEW WATERFORD, OH 44445-9602
(330) 619-6970

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1700402
OH
101YP2500X
Professional Counselor
Primary
E.2606470
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0264564
OH
Enumeration date
08/10/2017
Last updated
04/02/2026
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