Individual
KAYLA MARIE MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4641 FULTON DR NW, CANTON, OH 44718
(330) 807-9111
Mailing address
1695 BEECHWOOD AVE NW, APT C, NORTH CANTON, OH 44720
(330) 807-9111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
05/03/2016
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