Individual
MRS. KATHLEEN MARIE D'FANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MT-BC
Contact information
Practice address
16600 W SPRAGUE RD, SUITE 245, MIDDLEBURG HEIGHTS, OH 44130-6318
(440) 523-0370
Mailing address
16600 W SPRAGUE RD, SUITE 245, MIDDLEBURG HEIGHTS, OH 44130-6318
(440) 523-0370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/20/2016
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