Individual
KRISTEN W CARDONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC
Contact information
Practice address
6929 W 130TH ST, PARMA HEIGHTS, OH 44130-7895
(440) 887-1100
Mailing address
685 DOGWOOD LN, VERMILION, OH 44089-2096
(614) 745-5884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161088
OH
101YM0800X
Mental Health Counselor
E1200691
OH
101YP2500X
Professional Counselor
Primary
E.1200691-SUPV
OH
Other
Enumeration date
04/09/2016
Last updated
04/14/2018
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