Individual
PHYLLIS ANN VAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
135 E ERIE ST STE 302, KENT, OH 44240-3594
(330) 593-5959
Mailing address
3675 SUMMIT RD, RAVENNA, OH 44266-3513
(330) 807-0028
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1500573
OH
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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