Individual
KATHRYN WAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 279-2093
Mailing address
4859 LANDER RD, CHAGRIN FALLS, OH 44022-2144
(440) 313-8827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C. 1400247
OH
Other
Enumeration date
01/16/2015
Last updated
09/30/2015
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