Individual
MARI LYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1711 SPRING AVE NE, CANTON, OH 44714-2349
(330) 454-6800
(330) 588-7176
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1300345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181586
—
OH
Enumeration date
05/20/2013
Last updated
07/26/2021
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