Individual
HALEY M KOCOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 S MAIN ST, SPRINGBORO, OH 45066-1524
(937) 623-3648
Mailing address
1741 WANDERING STREAM WAY, CENTERVILLE, OH 45458-2973
(937) 623-3648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1902085
OH
Other
Enumeration date
07/02/2015
Last updated
11/27/2023
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