Individual
KANDICE DEITRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4760 MADISON RD, CINCINNATI, OH 45227-1426
(513) 861-0035
Mailing address
5354 ARLINGTON RD, NORTH CANTON, OH 44720-1308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1500709
OH
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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