Individual
KELSEY RAYMONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S MAIN ST STE 100, NORTH CANTON, OH 44720-4283
(330) 244-8782
Mailing address
1201 S MAIN ST STE 100, NORTH CANTON, OH 44720-4283
(330) 244-8782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162626
—
101YM0800X
Mental Health Counselor
C.2103800
OH
101YM0800X
Mental Health Counselor
Primary
E.2303831
OH
101YP2500X
Professional Counselor
C.2103800
OH
101YP2500X
Professional Counselor
E.2303831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.2103800
COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD
OH
01
—
E.2303831
COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD
OH
01
—
LICDC.162626
CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
10/07/2021
Last updated
05/02/2024
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