Individual
MR. MYKAL JOSIA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC, CRC
Contact information
Practice address
87 N CANTON RD, AKRON, OH 44305-3838
(330) 794-4254
(330) 794-4262
Mailing address
447 NORTHEAST AVE, APT. A206, TALLMADGE, OH 44278-1483
(740) 336-2473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1200603
OH
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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