Individual
HOLLIE JEWEL BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
620 E LINCOLNWAY, MINERVA, OH 44657-2009
(330) 455-0374
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2002760
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351245
—
OH
Enumeration date
05/30/2019
Last updated
07/09/2020
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