Individual
KAMREN SUSANOWIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
5565 AIRPORT HWY STE 100, TOLEDO, OH 43615-7391
(419) 720-5800
(419) 720-4444
Mailing address
5565 AIRPORT HWY STE 100, TOLEDO, OH 43615-7391
(419) 720-5800
(419) 720-4444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2204163-TRNE
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.2204163-TRNE
OH
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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