Individual
LAVONIA T DEPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT, LCDC III
Contact information
Practice address
800 MARKET AVE N, CANTON, OH 44702-1083
(330) 633-4187
(330) 633-4294
Mailing address
1202 RAFF RD SW, CANTON, OH 44710-1456
(330) 705-4820
(234) 214-8843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1901796-TRNE
OH
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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