Individual
KATHLEEN BYRNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LPC, CCM
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0900452
OH
171M00000X
Case Manager/Care Coordinator
4232595
OH
225C00000X
Rehabilitation Counselor
00113141
OH
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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