Individual
KITANA M. CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25773 STATE ROUTE 41, PEEBLES, OH 45660-8953
(740) 357-5528
Mailing address
1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612-1500
(740) 313-0571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103396
OH
Other
Enumeration date
01/03/2019
Last updated
08/15/2024
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