Individual
MRS. KOURTNI ANN CARABOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
1917 COLTMAN RD, CLEVELAND, OH 44106
(440) 669-4058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1600628-TRNE
OH
Other
Enumeration date
11/29/2016
Last updated
07/26/2017
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