Individual
KELSEY HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(216) 386-3791
Mailing address
4264 AVALON RD NW, CARROLLTON, OH 44615-9329
(330) 904-2822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1600401
OH
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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