Individual
MRS. CASEY LAUREN KORTANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC III, LPC
Contact information
Practice address
5720 GATEWAY STE 204, MASON, OH 45040-1891
(513) 445-9959
Mailing address
5720 GATEWAY STE 204, MASON, OH 45040-1891
(513) 445-9959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2305256-TRNE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
162966
OH
101YM0800X
Mental Health Counselor
C.2305256-TRNE
OH
101YP2500X
Professional Counselor
Primary
C.2406593
OH
Other
Enumeration date
06/20/2017
Last updated
10/22/2024
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