Individual
MRS. CORRINE LYNN KISSELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, PCC
Contact information
Practice address
24800 HIGHPOINT RD, BEACHWOOD, OH 44122-6052
(216) 831-6611
Mailing address
192 FOREST HILL DR, AVON LAKE, OH 44012-1744
(440) 315-4695
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900196
OH
Other
Enumeration date
12/04/2012
Last updated
12/08/2012
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