Individual
KELLY MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3480 W MARKET ST STE 202, FAIRLAWN, OH 44333-3369
(330) 548-1224
Mailing address
17179 GREEN RD, BOWLING GREEN, OH 43402-9333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2406189-TRNE
OH
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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