Individual
KRISTEN HORVATH-BRODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1300408-SUPV
OH
101YM0800X
Mental Health Counselor
E. 1300408
OH
101YM0800X
Mental Health Counselor
E.1300408-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187345
—
OH
Enumeration date
09/26/2016
Last updated
10/10/2021
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