Individual
KATELYN MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1083 MENTOR AVE, PAINESVILLE, OH 44077-1829
(440) 358-7370
Mailing address
1083 MENTOR AVE, PAINESVILLE, OH 44077-1829
(440) 358-7370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C 1500000
OH
Other
Enumeration date
03/17/2017
Last updated
02/03/2022
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