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MONARCH: WINGS OF KYLA FOUNDATION

Active
Other names
THE WINGS OF KYLA FOUNDATION
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANNE LARRIGAN LPCC, LICDC, LSW (OWNER/CEO/THERAPIST)
(740) 529-0141
Entity
Organization

Contact information

Practice address
680 E MAIN ST, JACKSON, OH 45640-2152
(740) 529-0141
(740) 577-3222
Mailing address
205 S BENNETT AVE, JACKSON, OH 45640-1905

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010435
OH
Enumeration date
06/26/2025
Last updated
06/26/2025
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