Individual
KEELI LAURAN VICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
163 N SANDUSKY ST STE 104, DELAWARE, OH 43015-1778
(312) 388-5101
Mailing address
163 N SANDUSKY ST STE 104, DELAWARE, OH 43015-1778
(312) 388-5101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E1500017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
04/04/2017
Last updated
03/12/2026
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