Individual
CARRIE WYKRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA-PRELIMINARY
Contact information
Practice address
174 MIDWAY BLVD, ELYRIA, OH 44035-2786
(440) 723-8997
Mailing address
708 LUCILLE DR, ELYRIA, OH 44035-3705
(440) 452-9443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.185559
OH
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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