Individual
KIMBERLY D MORAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1.0900109-SUPV
OH
101YP2500X
Professional Counselor
C0900109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098331
—
OH
Enumeration date
03/18/2010
Last updated
06/08/2016
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