Individual
MRS. KEARY LEE CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1400261
OH
101YM0800X
Mental Health Counselor
C.1400261
OH
101YP2500X
Professional Counselor
C.1400261
OH
101YP2500X
Professional Counselor
Primary
E1800906-SUPV
OH
Other
Enumeration date
02/02/2016
Last updated
12/04/2020
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