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Individual

KATELYN A HAMPU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CDCA

Contact information

Practice address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 433-6075
(330) 433-1843
Mailing address
3007 TREESIDE ST NW, CANTON, OH 44709-1906
(216) 301-7155

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.180390
OH
101YP2500X
Professional Counselor
Primary
C.2304878
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0474171
OH
Enumeration date
09/10/2021
Last updated
03/21/2023
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