Organization
AGING WITH RESILIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHYANNE FARRIS (OWNER)
(843) 304-4895
Entity
Organization
Contact information
Practice address
1072 SUSAN RD, RAVENNA, OH 44266-3583
(843) 304-4895
Mailing address
1072 SUSAN RD, RAVENNA, OH 44266-3583
(843) 304-4895
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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