Individual
KIMBERLY VITOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
8224 MENTOR AVE, #208, MENTOR, OH 44060-5768
(440) 392-2222
(440) 565-2349
Mailing address
8224 MENTOR AVE, #208, MENTOR, OH 44060-5768
(440) 392-2222
(440) 565-2349
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
M.1500008
OH
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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