Individual
MRS. KAITLYN R KORTOKRAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
408 9TH ST SW, CANTON, OH 44707-4714
(330) 454-2000
Mailing address
408 9TH ST SW, CANTON, OH 44707-4714
(330) 454-2000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267648
—
OH
Enumeration date
08/12/2016
Last updated
07/14/2021
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