Individual
ANNE LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
106 S BROAD ST, CANFIELD, OH 44406-1447
(330) 533-5450
Mailing address
106 S BROAD ST, CANFIELD, OH 44406-1447
(330) 533-5450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E-0003968
OH
Other
Enumeration date
03/07/2007
Last updated
04/22/2009
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