Individual
KELSEY RENICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
Mailing address
340 S BROADWAY ST, AKRON, OH 44308-1529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1801012-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
C.1901673
OH
Other
Enumeration date
08/14/2018
Last updated
02/11/2019
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