Individual
ELISE L AITKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
(440) 285-4552
Mailing address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
(440) 285-4552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0600149
OH
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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