Individual
MS. KIM ELIZABETH KOYNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, AT, LPC
Contact information
Practice address
408 NORTH ST, CHARDON, OH 44024-1036
(440) 285-3568
Mailing address
408 NORTH ST, CHARDON, OH 44024-1036
(440) 285-3568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1000268
OH
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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