Individual
KEARSTON RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S MAIN ST, LIMA, OH 45804-1500
(419) 222-1168
Mailing address
530 S MAIN ST, LIMA, OH 45804-1500
(419) 222-1168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APP-000739036
OH
Other
Enumeration date
12/08/2022
Last updated
07/18/2023
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