Organization
CPPL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTIL CANTERBURY MA, LPCC (CLINICAL COUNSELOR)
(419) 742-2745
Entity
Organization
Contact information
Practice address
3454 OAK ALLEY CT STE 406, TOLEDO, OH 43606-1355
(419) 742-2745
Mailing address
4111 SHAMLEY GREEN DR, TOLEDO, OH 43623-3232
(419) 787-2807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E. 0900306
OH
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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