Individual
KATELYN SACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
Mailing address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.2005585
OH
Other
Enumeration date
02/02/2018
Last updated
08/25/2021
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