Individual
KELLY E SWINNERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
434 EASTLAND RD OFC ROOM116, BEREA, OH 44017-1217
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1801272-TRNE
—
101YM0800X
Mental Health Counselor
C2002560
OH
101YM0800X
Mental Health Counselor
Primary
E.2404832
OH
Other
Enumeration date
09/24/2018
Last updated
12/20/2024
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