Individual
KENYA PAVLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5648 MAIN ST, SYLVANIA, OH 43560-3940
(419) 309-9305
Mailing address
1740 WILSHIRE AVE, TOLEDO, OH 43614-3654
(419) 309-9305
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
C.2203931
OH
247200000X
Other Technician
—
—
Other
Enumeration date
05/24/2017
Last updated
03/07/2026
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