Individual
MARIE CHRISTINE KLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA. LPCC. LCDC III
Contact information
Practice address
601 CLEVELAND AVE NW, CANTON, OH 44702-1836
(330) 455-0374
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161767
OH
101YP2500X
Professional Counselor
Primary
E.2203154
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261366
—
OH
Enumeration date
08/15/2017
Last updated
10/06/2022
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