Individual
MRS. CAROL KASHA-CIALLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC-S, LICDC-CS
Contact information
Practice address
118 STOVER DR, DELAWARE, OH 43015-8601
(740) 369-6811
(740) 363-8742
Mailing address
118 STOVER DR, DELAWARE, OH 43015-8601
(740) 369-6811
(740) 363-8742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
E0003859SUPV
OH
101YM0800X
Mental Health Counselor
E0003859SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901088
—
OH
Enumeration date
04/16/2013
Last updated
05/14/2016
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