Individual
MRS. KELLIE DESIREE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E. 0004124
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E. 0004124
OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE & FAMILY THERAPIST BOARD
OH
Enumeration date
03/28/2007
Last updated
08/31/2015
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