Individual
KYLIE HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2469
Mailing address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2469
(330) 364-9212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
E.2505769
OH
Other
Enumeration date
01/12/2022
Last updated
11/06/2025
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