Kylie Leicht, CT BA

NPI #1164914891 in Fairlawn, Ohio

Provider Information

NPI Number: 1164914891
Entity Type: Individual
Name: Kylie Leicht, CT BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: CT BA
Enumeration Date: May 30, 2018
Last Updated: May 30, 2018

Practice Location

Address: 3094 W MARKET ST STE 105
City: Fairlawn
State: Ohio
ZIP Code: 44333-3617
Phone: (440) 260-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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