Individual
MS. KYAN ELIZABETH LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
312 3RD ST, ELYRIA, OH 44035-5618
(440) 323-5707
Mailing address
312 3RD ST, ELYRIA, OH 44035-5618
(440) 323-5707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0005429
OH
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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