Individual
KELLY TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 E MARKET ST, WARREN, OH 44481-1141
(330) 399-6451
Mailing address
2939 HEATHER LN NW, WARREN, OH 44485-1243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OH
Other
Enumeration date
07/11/2023
Last updated
12/13/2024
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